Daly, Katherine Ann

Daly, Katherine Ann is an individual health care provider with primary practice located at 1660 South Hwy 100 Parkdale Plaza Suite 598, St Louis Park MN 55416. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Daly, Katherine Ann can be contacted via phone (763) 520-1631.

Contact Information

Primary practice address
1660 South Hwy 100 Parkdale Plaza Suite 598 St Louis Park MN 55416
Phone: (763) 520-1631
Fax: (952) 546-0715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39009 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 39009 Minnesota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 39009 Minnesota

Profile Details

NPI number 1922162155
LBN Legal business name Daly, Katherine Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 29th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922162155 NPPES
Minnesota MEDICAID 600927100

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