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NPI Code Detail

MEDICARE: KALI LYNN DAHLKE

MEDICARE: KALI LYNN DAHLKE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1932841830
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI LYNN DAHLKE
Provider Business Mailing Address
First Line : 7255 181ST ST W APT 324
Second Line :
City : LAKEVILLE
State : MN
Zip : 55044-2309
Country : US
Telephone Number : 612-499-7212
Fax Number :
Provider Business Practice Location Address
First Line : 425 W TRAVELERS TRL
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-2554
Country : US
Telephone Number : 952-247-2954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 04/11/2022

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Directions to “ KALI LYNN DAHLKE ” Practice Location

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