Amelia Hentges, LPN
Individual provider Active NPI Licensed Practical Nurse · Kimball, MN
NPI 1902174642 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1902174642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L72444-1 (MN)
- Practice address
- 7 Magnus Johnson Street South
Kimball, MN 55353 - Phone
- (320) 237-7498
- NPI assigned
- Dec 8, 2011
- 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 |
|---|---|---|---|
| L72444-1 | MN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L72444-1 | MN | Yes |
Addresses
Primary practice location
7 Magnus Johnson Street South
Kimball, MN 55353
Mailing address
PO Box 34
7 Magnus Johnson St
Kimball, MN 55353-0034
Other providers in Kimball, MN
All providers in Kimball, MN · Licensed Practical Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. 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.