Individual
KATHRYN M MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4525
(651) 213-4515
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4525
(651) 213-4515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52293
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402996800
—
MN
Enumeration date
02/27/2006
Last updated
03/02/2017
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