Provider Demographics
NPI:1609293141
Name:FISCHER, KARI JEAN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:JEAN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:JEAN
Other - Last Name:KISSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11312 380TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-9733
Mailing Address - Country:US
Mailing Address - Phone:320-493-3089
Mailing Address - Fax:
Practice Address - Street 1:2233 ROOSEVELT RD STE 1
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5120
Practice Address - Country:US
Practice Address - Phone:320-258-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL-062153-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse