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Individual

KATHERINE E SIMKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6176
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6176

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3949
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3949
STATE MEDICAL LICENSE
MN
Enumeration date
06/25/2024
Last updated
06/23/2025
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