Mechelke, Kathryn A

Mechelke, Kathryn A is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mechelke, Kathryn A can be contacted via phone (320) 229-4917.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Phone: (320) 229-4917
Fax: (320) 229-5181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44015 Minnesota

Profile Details

NPI number 1366432015
LBN Legal business name Mechelke, Kathryn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366432015 NPPES
Other 083483100 MEDICAL ASSISTANCE
Other 1328113 MEDICAL ASSISTANCE
Other 0107722 MEDICAL ASSISTANCE
Other 140249 MEDICAL ASSISTANCE
Other HP33397 MEDICAL ASSISTANCE
Other 1027779 MEDICAL ASSISTANCE
Other 2114101 MEDICAL ASSISTANCE
Other 49F16ME MEDICAL ASSISTANCE

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