MEDICARE: MRS. SAUNDRA LYNN MCKISSIC 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	374J00000X	Doula	L 67360-2	MN

General Provider Information

NPI Number	:	1356661979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAUNDRA LYNN MCKISSIC LPN

Provider Business Mailing Address
First Line	:	1419 PENN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3049
Country	:	US
Telephone Number	:	612-522-5232
Fax Number	:	612-522-5232

Provider Business Practice Location Address
First Line	:	1419 PENN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3049
Country	:	US
Telephone Number	:	612-522-5232
Fax Number	:	612-522-5232

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

Provider Enumeration Date	:	06/05/2010
Last Update Date	:	11/06/2013

Similar Medicare Providers

1023337060 — COMPASSIONATE NURSES NETWORK LLC
Practice Location Address:

1419 PENN AVE N
MINNEAPOLIS, MN
55411-3049

Practice Phone: 612-388-7382
Practice Fax:

1962833483 — COMPASSIONATE NURSES NETWORK LLC
Practice Location Address:

1419 PENN AVE N
MINNEAPOLIS, MN
55411-3049

Practice Phone: 612-522-5232
Practice Fax:

1700395142 — SUZANNE MARGARET KRAMER MS LPC
Practice Location Address:

5009 EXCELSIOR BLVD STE 134
MINNEAPOLIS, MN
55416-3049

Practice Phone: 612-275-2653
Practice Fax: 952-285-4103

1598178204 — THEA RENEE FREDERICKSEN M.A., OTR/L
Practice Location Address:

1250 W BROADWAY AVE
MINNEAPOLIS, MN
55411-2533

Practice Phone: 612-668-0254
Practice Fax:

1003290701 — AMIRA YAGI DDS
Practice Location Address:

2220 PLYMOUTH AVE N
MINNEAPOLIS, MN
55411-3600

Practice Phone: 612-543-3525
Practice Fax:

1346703501 — RHETT ALLEN BERG DDS
Practice Location Address:

1313 PENN AVE N
MINNEAPOLIS, MN
55411-3047

Practice Phone: 612-543-2500
Practice Fax:

Directions to “ MRS. SAUNDRA LYNN MCKISSIC LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.