Individual
KATHERINE M BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215417100
—
MN
01
—
P01021687
RAILROAD MEDICARE
MN
Enumeration date
01/16/2006
Last updated
05/17/2012
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