MEDICARE: EMILY KALINA NP

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	363LF0000X	Family Nurse Practitioner	R33251	ND
2	363LF0000X	Family Nurse Practitioner	R146588-0	MN

General Provider Information

NPI Number	:	1942683990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KALINA NP

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:	605-328-9419
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E MILL ST
Second Line	:
City	:	PELICAN RAPIDS
State	:	MN
Zip	:	56572-4234
Country	:	US
Telephone Number	:	218-863-6100
Fax Number	:

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

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	07/02/2024

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