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MOLLY SUE KMIECIAK LPN
NPI 1750034633
Licensed Practical Nurse in Fridley, MN

Active since January 31, 2022
5981 MAIN ST NE UPPR APT, FRIDLEY, MN 55432(612) 707-4216 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Molly Sue Kmieciak Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY SUE KMIECIAK LPN (NPI 1750034633) is an individual licensed practical nurse in Fridley, Minnesota, licensed in Minnesota (774349) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1750034633
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMOLLY SUE KMIECIAKCredential: LPN
Location Address5981 MAIN ST NE UPPR APTFridley, MN 55432-5442
Mailing Address3401 E Medicine Lake Blvd Ofc 114Plymouth, MN 55441-2307 · (763) 231-5939
Phone(612) 707-4216
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1750034633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · 774349
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5981 MAIN ST NE UPPR APT, Fridley, MN 55432
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Kmieciak's NPI number?

The NPI number for Molly Kmieciak is 1750034633. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Molly Kmieciak located?

Molly Kmieciak practices at 5981 Main St NE Uppr Apt, Fridley, MN 55432. The listed phone number is (612) 707-4216.

What is Molly Kmieciak's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Molly Kmieciak was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.