Individual
KATHLEEN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 CHICAGO AVENUE SOUTH, STE 300, MINNEAPOLIS, MN 55407
(651) 225-7855
(651) 312-1570
Mailing address
3433 BROADWAY ST NE STE 115, MINNEAPOLIS, MN 55413-1759
(651) 312-1505
(612) 248-2944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12595
MN
Other
Enumeration date
10/18/2017
Last updated
02/27/2020
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