Provider Demographics
NPI:1194777110
Name:YAMNIK, KIRA S (NP)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:S
Last Name:YAMNIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-4813
Mailing Address - Fax:612-262-4194
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2060
Practice Address - Fax:612-725-2287
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR129883-7363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q53581Medicare UPIN