Individual
KATHRYN FORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
Mailing address
5301 VERNON AVE S, EDINA, MN 55436-2303
(952) 925-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79647
MN
Other
Enumeration date
04/11/2022
Last updated
06/30/2025
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