Kimmy S Oberstar
Nurse Practitioner - Pediatrics
360 Sherman St Ste 200 Childrens Specialty Clinic Psychological Services Stpl
Saint Paul
, Minnesota 55102-2567
Kimmy S Oberstar
Nurse Practitioner - Pediatrics
360 Sherman St Ste 200 Childrens Specialty Clinic Psychological Services Stpl
Saint Paul
, Minnesota 55102-2567
(651) 855-2310
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Kimmy S Oberstar
- 2910 Centre Pointe Drive Childrens Health Care
- Roseville, MN
- Zip : 55113
- Fax : (651) 855-2310
- Phone : (651) 855-2327
Second Address
- Kimmy S Oberstar
- 360 Sherman St Ste 200 Childrens Specialty Clinic Psychological Services Stpl
- Saint Paul, MN
- Zip : 55102-2567
- Fax : (651) 220-6707
- Phone : (651) 220-6720
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FAQs
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Is Kimmy S Oberstar a sole practitioner?
Is Kimmy S Oberstar accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | R1115279 | MN |
National Provider Identifier
| NPI | 1043323678 |
|---|---|
| Provider Name | Kimmy S Oberstar |
| First Address | Roseville, MN 55113 |
| Second Address | Saint Paul, MN 55102-2567 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 24/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 434716100 | (05) | MN |
| S47785 | (02) |
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.