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NPI Code Detail

MEDICARE: KYIA BURKS LANKFORD

MEDICARE:   KYIA  BURKS LANKFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1417655945
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYIA BURKS LANKFORD
Provider Business Mailing Address
First Line : 2112 BROADWAY ST NE STE 225
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-3081
Country : US
Telephone Number : 612-643-9336
Fax Number :
Provider Business Practice Location Address
First Line : 2112 BROADWAY ST NE STE 225
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-3081
Country : US
Telephone Number : 612-643-9336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 02/23/2023

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Directions to “ KYIA BURKS LANKFORD ” Practice Location

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