Provider Demographics
NPI:1356066690
Name:FRANK, KAIA MAXINE (PHARMD)
Entity type:Individual
Prefix:
First Name:KAIA
Middle Name:MAXINE
Last Name:FRANK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-1814
Mailing Address - Country:US
Mailing Address - Phone:320-763-4360
Mailing Address - Fax:320-763-7684
Practice Address - Street 1:910 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1814
Practice Address - Country:US
Practice Address - Phone:320-763-4360
Practice Address - Fax:320-763-7684
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist