Booth, Kathleen Marie

Booth, Kathleen Marie is an individual health care provider with primary practice located at 2115 Summit Ave Student Health Services # 5056, St Paul MN 55105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Booth, Kathleen Marie can be contacted via phone (651) 962-6750.

Contact Information

Primary practice address
2115 Summit Ave Student Health Services # 5056 St Paul MN 55105
Phone: (651) 962-6750
Fax: (651) 962-6751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1226809 Minnesota

Profile Details

NPI number 1114057510
LBN Legal business name Booth, Kathleen Marie
Credentials RNC, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers