Individual
KATHLEEN MARIE BROVIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2099
(320) 656-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2099
(320) 656-1670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
818168
MN
282E00000X
Long Term Care Hospital
Primary
$$$$$$$$$
MN
Other
Enumeration date
01/29/2025
Last updated
03/20/2026
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