Kirsten K Komarek, RDH
Individual provider Active NPI Dental Hygienist · Carlton, MN
NPI 1285245233 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1285245233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- H9686 (MN)
- Practice address
- 210 3Rd St
Carlton, MN 55718-7703 - Phone
- (218) 336-3524
- Fax
- (218) 384-9002
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9686 | MN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H9686 | MN | Yes |
Addresses
Primary practice location
210 3Rd St
Carlton, MN 55718-7703
Mailing address
2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 392-1955
Other practice location 1
4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 628-7035
Other providers in Carlton, MN
- City of Carlton
- Community Addiction Recovery Enterprise Carlton
- Inter-Faith Care Center
- Inter-Faith Care Center
- Kristen Marie Jaster
- Steven Boyd Kottke
- Kimberly Kroll
- Lake Superior Community Health Center
- Cristy Sue Leonard-Rivers
- Gina Mott
All providers in Carlton, MN · Dental Hygienist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.