| Ms Vida S Kent, CNM | |
| 
					6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705  | |
| (952) 993-5029 | |
| Not Available | 
| Full Name | Ms Vida S Kent | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 6490 Excelsior Blvd, St Louis Park, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790769461 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | R115246-5 (Minnesota) | Primary | 
| Entity Name | Park Nicollet Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Vida S Kent, CNM 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () -  | Ms Vida S Kent, CNM 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 Ph: (952) 993-5029  | 
Susanna Goldstein,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  | |
Katelyn Neufeld,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282  | |
Sarah Hallman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282  | |
Karen Margaret Sonnenburg, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-933-3282  | |
Brianna Jean Conklin,  Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282  | |
Ms. Amy F Brandl, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, Hvc- 5th Floor, St Louis Park, MN 55426 Phone: 952-993-3282 Fax: 952-993-1361  | |
Diane Feller, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282  |