Individual
KRISTEN LYNN COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1831 E LAKE ST, MINNEAPOLIS, MN 55407-1809
(612) 276-1000
Mailing address
973 HILLWIND RD NE, FRIDLEY, MN 55432-5912
(763) 245-7147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50237
MN
Other
Enumeration date
02/14/2008
Last updated
01/31/2011
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