Healthy Miles LLC
Organization Active NPI Internal Medicine Physician · Spring Park, MN
NPI 1831812239 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1831812239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HEALTHY MILES LLC
- Practice address
- 4142 Shoreline Dr
Spring Park, MN 55384-9629 - Phone
- (866) 305-0622
- NPI assigned
- Sep 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Damon Kenton
- Title
- Owner
- Phone
- (612) 242-9517
National Provider Directory
Locations
4142 Shoreline Dr
Spring Park, MN 55384
Phone (612) 470-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
4142 Shoreline Dr
Spring Park, MN 55384-9629
Mailing address
4142 Shoreline Dr
Spring Park, MN 55384-9629
Other providers in Spring Park, MN
- Crossroads Christian Center
- Julie A Dejong
- Family & Cosmetic Gentle Dentistry
- Golden Care
- Golden Care PLLC
- Jill Renee Heuer
- Kyle R Danielson, DDS, PLLC
- James D Lehmann
- Judith L Miller
- Mindfully Healing Inc.
All providers in Spring Park, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. 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.