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NPI Code Detail

MEDICARE: ALEXANDRA KUENNEN

MEDICARE: ALEXANDRA KUENNEN
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1912856113
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA KUENNEN
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 701-234-2000
Fax Number :
Provider Business Practice Location Address
First Line : 801 BROADWAY N
Second Line :
City : FARGO
State : ND
Zip : 58102-3641
Country : US
Telephone Number : 701-234-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ ALEXANDRA KUENNEN ” Practice Location

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