Eggleston, Kathryn

Eggleston, Kathryn is an individual health care provider with primary practice located at 1965 Ford Pkwy , Saint Paul MN 55116-1923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eggleston, Kathryn can be contacted via phone (651) 696-5520.

Contact Information

Primary practice address
1965 Ford Pkwy Saint Paul MN 55116-1923
Phone: (651) 696-5520
Fax: (612) 375-9567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-47063 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43137 Minnesota

Profile Details

NPI number 1780689539
LBN Legal business name Eggleston, Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated May 13th, 2020 - about 6 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 1780689539 NPPES
Minnesota MEDICAID 138488100

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