Individual
KATHRYN L PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 1ST AVE NE, NEW LONDON, MN 56273-9796
(320) 444-5065
Mailing address
201 1ST AVE NE, NEW LONDON, MN 56273-9796
(320) 444-5065
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
06/16/2021
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