Individual
KATHERINE LYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 INSPIRATION PKWY S, BAYPORT, MN 55003-1611
(651) 235-1391
Mailing address
933 INSPIRATION PKWY S, BAYPORT, MN 55003-1611
(651) 235-1391
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
202683-3
MN
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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