Douglass, Kathryn Elizabeth

Douglass, Kathryn Elizabeth is an individual health care provider with primary practice located at 17750 Hutchins Dr. , Minnetonka MN 55345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Douglass, Kathryn Elizabeth can be contacted via phone (952) 401-8300.

Contact Information

Primary practice address
17750 Hutchins Dr. Minnetonka MN 55345
Phone: (952) 401-8300
Fax: (952) 401-8373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20102395 Minnesota

Profile Details

NPI number 1497043954
LBN Legal business name Douglass, Kathryn Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2011 - about 15 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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