Van Dusen, Kerry Lynn
Van Dusen, Kerry Lynn is an individual health care provider with primary practice located at 324 W Superior St Suite 400, Duluth MN 55802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Dusen, Kerry Lynn can be contacted via phone (218) 740-3026.Contact Information
Primary practice address
324 W Superior St Suite 400
Duluth MN 55802
Phone: (218) 740-3026
Fax: (218) 740-3030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4115 | Minnesota |
Profile Details
| NPI number | 1700919073 |
|---|---|
| LBN Legal business name | Van Dusen, Kerry Lynn |
| Credentials | PSYD LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Dec 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700919073 | NPPES |
| Minnesota | Other | 174M6N0 | BCBS |
| Minnesota | Other | 174M7VA | BCBS |
| Minnesota | MEDICAID | 705222700 | BCBS |
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