IndividualActive
Kevin Wall
NPI 1508843335 · Occupational Medicine Physician · Saint Paul, MN
Provider details
- NPI number
- 1508843335
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 38367 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone: (651) 968-5300
Fax: (651) 646-0205
Approximate (ZIP-level) locationGet directions
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.