Individual
KATHLEEN C SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4327
(952) 993-4320
Mailing address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4327
(952) 993-4320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9408
MN
Other
Enumeration date
12/27/2005
Last updated
06/15/2011
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