Individual
KATHRYN M LOEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 SMITH AVE N STE 370, SAINT PAUL, MN 55102-2383
(651) 968-5250
(651) 968-5901
Mailing address
PO BOX 86 SDS 12 2901, MINNEAPOLIS, MN 55486-2901
(651) 968-5050
(651) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9541
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407898500
—
MN
Enumeration date
08/23/2006
Last updated
10/26/2009
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