Individual
KRISTIN LYNN MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1406 6TH AVE N, ST CLOUD HOSPITAL, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVE N, ST CLOUD HOSPITAL, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10681
MN
363A00000X
Physician Assistant
001971
IA
363AM0700X
Medical Physician Assistant
10681
MN
Other
Enumeration date
01/14/2009
Last updated
09/22/2015
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