Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 65210 | MN |
NPI | 1184044067 |
---|---|
Provider Name | Sakshi Kaul |
First Address | Saint Cloud, MN 56303-2736 |
Second Address | Saint Cloud, MN 56303-2736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
65210 | MINNESOTA MEDICAL LICENSE NUMBER (01) | MN |