Kayla Joy Muckenhirn
Mental Health
3525 Monterey Dr
St Louis Park
, Minnesota 55416-5275
Kayla Joy Muckenhirn
Mental Health
3525 Monterey Dr
St Louis Park
, Minnesota 55416-5275
(320) 815-8043
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Kayla Joy Muckenhirn
- 1367 Willow St Apt. 236
- Minneapolis, MN
- Zip : 55403-2492
- Phone : (320) 815-8043
Second Address
- Kayla Joy Muckenhirn
- 3525 Monterey Dr
- St Louis Park, MN
- Zip : 55416-5275
- Phone : (952) 993-6200
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Is Kayla Joy Muckenhirn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 105357 | MN |
National Provider Identifier
| NPI | 1417483744 |
|---|---|
| Provider Name | Kayla Joy Muckenhirn |
| First Address | Minneapolis, MN 55403-2492 |
| Second Address | St Louis Park, MN 55416-5275 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2017 |
| Last Update Date | 30/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.