Most Relevant Information
Provider Data
| NPI Number: | 1003351156 |
| Provider Name: | LINDSAY KUPHAL CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2016 |
| Last Updated: | 02/06/2017 |
Provider Practice Location
3400 W 66TH ST
EDINA
MN
554352111
Practice Location Phone/Fax
| Phone: | 9529141733 |
| Fax: |
Provider Mailing Location
3400 W 66TH ST
EDINA
MN
554352111
Provider Mailing Phone/Fax
| Phone: | 9529141733 |
| Fax: |