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NPI Code Detail

MEDICARE: KARI BEDNARCZYK OTR/L

MEDICARE: KARI BEDNARCZYK OTR/L
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
1174400000XSpecialist102477MN

General Provider Information

NPI Number : 1619978277
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI BEDNARCZYK OTR/L
Provider Business Mailing Address
First Line : 12412 AZTEC ST NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-6775
Country : US
Telephone Number : 763-433-2905
Fax Number :
Provider Business Practice Location Address
First Line : 4010 W 65TH ST
Second Line : SUITE 105
City : EDINA
State : MN
Zip : 55435-1721
Country : US
Telephone Number : 952-285-2840
Fax Number : 952-285-2830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 07/08/2007

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Directions to “ KARI BEDNARCZYK OTR/L” Practice Location

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