MEDICARE: KIM ARCAND LPN

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
1	164W00000X	Licensed Practical Nurse	L044664-8	MN

General Provider Information

NPI Number	:	1558389403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM ARCAND LPN

Provider Business Mailing Address
First Line	:	606 24TH AVE S STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1437
Country	:	US
Telephone Number	:	612-672-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 24TH AVE S STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1437
Country	:	US
Telephone Number	:	612-672-2525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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