Kallie Carol Kuehn
Individual provider Active NPI Behavior Technician · South Saint Paul, MN
NPI 1366050544 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1366050544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- Q577143367119 (MN)
- Practice address
- 535 9TH Ave S
South Saint Paul, MN 55075-2719 - Phone
- (651) 338-9757
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| Q577143367119 | MN | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Q577143367119 | MN | Yes |
Addresses
Primary practice location
535 9TH Ave S
South Saint Paul, MN 55075-2719
Mailing address
535 9TH Ave S
South Saint Paul, MN 55075-2719
Phone (651) 338-9757
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- Stephanie Halvorson
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- Abby Klein
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- Lupine Counseling LLC
- Rhonda Lynn Martin
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All providers in South Saint Paul, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. 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.