Individual
KALYN HATZENBUHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-2807
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-2807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2564
MN
Other
Enumeration date
08/10/2015
Last updated
06/30/2020
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