Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 100850 | MN |
Y | 225XE1200X | Ergonomics | 100850 | MN |
NPI | 1083869531 |
---|---|
Provider Name | Ms. Kristin Kay Hallenberg |
First Address | Minneapolis, MN 55407-3723 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 25/11/2008 |