Pain Injury and Brain Centers of America LLC

NPI #1912287038 in Goodview, Minnesota

Provider Information

NPI Number
1912287038
Entity Type
Organization
Organization Name
Pain Injury and Brain Centers of America LLC
Primary Specialty
Registered Nurse
Enumeration Date
Aug 20, 2011
Last Updated
Aug 20, 2011

Practice Location

Address
4465 HIGHWAY 61
ZIP Code
55987-1659
Phone
(507) 410-1144

Authorized Official

Name
HAL KENNER, CRNA
Title
CLINICIAN
Phone
(507) 410-1144

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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