Individual
MRS. KATHRYN MARIE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4961 RICE LAKE RD, SUITE #103, DULUTH, MN 55803-8438
(218) 391-9976
Mailing address
4961 RICE LAKE RD, SUITE #103, DULUTH, MN 55803-8438
(218) 391-9976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3224
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157492
FIRST HEALTH
MN
01
—
231905
CHIROCARE
MN
05
—
558525200
—
MN
01
—
62G00DO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/23/2005
Last updated
07/20/2012
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