Pfaff, Kathleen T

Pfaff, Kathleen T is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Pfaff, Kathleen T can be contacted via phone (612) 873-2203.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2203
Fax: (612) 904-4273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 11621 Mississippi

Profile Details

NPI number 1770549404
LBN Legal business name Pfaff, Kathleen T
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 28th, 2007 - about 18 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 1770549404 NPPES
Minnesota MEDICAID 486975300
Minnesota Other 07-04616
Minnesota Other 866G5PF

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