Individual
MISS KATE MARIE HEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12522
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013436450
—
MN
Enumeration date
09/18/2017
Last updated
12/16/2020
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