Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1386900272 |
---|---|
Provider Name | Kyle Robert Hamre |
First Address | Golden Valley, MN 55422-4840 |
Second Address | Edina, MN 55435-1805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 05/04/2012 |