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NPI Code Detail

MEDICARE: AMBER KILDAHL

MEDICARE:   AMBER  KILDAHL
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
1163W00000XRegistered Nurse158555-30WI

General Provider Information

NPI Number : 1801775788
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER KILDAHL
Provider Business Mailing Address
First Line : 8528 GOLFVIEW DR
Second Line :
City : HOUSTON
State : MN
Zip : 55943-7208
Country : US
Telephone Number : 507-458-3883
Fax Number :
Provider Business Practice Location Address
First Line : 8528 GOLFVIEW DR
Second Line :
City : HOUSTON
State : MN
Zip : 55943-7208
Country : US
Telephone Number : 507-458-3883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 08/27/2025

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Directions to “ AMBER KILDAHL ” Practice Location

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