Individual
MRS. KIMBERLY WALTON MCCAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(612) 659-7101
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04378
TX
Other
Enumeration date
02/24/2008
Last updated
01/12/2009
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