Individual
KATHRYN ELEANOR SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 RIVERSIDE AVE, EAST BUILDING RM MB540, MINNEAPOLIS, MN 55454-1450
(612) 626-4246
(612) 624-7692
Mailing address
2450 RIVERSIDE AVE, EAST BUILDING RM MB540, MINNEAPOLIS, MN 55454-1450
(612) 626-4246
(612) 624-7692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10787
MN
Other
Enumeration date
08/18/2010
Last updated
03/06/2012
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