Provider Demographics
NPI:1730926163
Name:KRONFELD, KAYLA (CPM, LM)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:KRONFELD
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 72ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-3509
Mailing Address - Country:US
Mailing Address - Phone:515-401-8451
Mailing Address - Fax:
Practice Address - Street 1:4201 44TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3540
Practice Address - Country:US
Practice Address - Phone:515-401-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1105176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife