Individual
KATHLEEN DYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 SLOAN PL STE 17, MAPLEWOOD, MN 55117-2051
(651) 772-6251
Mailing address
1997 SLOAN PL STE 17, MAPLEWOOD, MN 55117-2051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11189
MN
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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