Individual
KATHERINE M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6200 SHINGLE CREEK PKWY, STE 300, BROOKLYN CENTER, MN 55430-2128
(763) 746-9010
(763) 746-9022
Mailing address
5117 DREW AVE S, MINNEAPOLIS, MN 55410-2028
(763) 746-9010
(763) 746-9022
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
2780
MN
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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