Decleene, Kathryn Mary

Decleene, Kathryn Mary is an individual health care provider with primary practice located at 6936 Pine Arbor Dr S , Cottage Grove MN 55016-4645. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Decleene, Kathryn Mary can be contacted via phone (651) 326-5800.

Contact Information

Primary practice address
6936 Pine Arbor Dr S Cottage Grove MN 55016-4645
Phone: (651) 326-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1609544717
LBN Legal business name Decleene, Kathryn Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Aug 21st, 2023 - about 3 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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