Individual
KATELYN MARIE PARK PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
516 DELAWARE ST SE # MMC98, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13554
MN
Other
Enumeration date
03/24/2020
Last updated
01/28/2025
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