Individual
MRS. KATHLYN ELISE CALLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
70968
MN
2084N0400X
Neurology Physician
OT018685
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
10/10/2022
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