Individual
DR. KAY S PITKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,LP
Contact information
Practice address
301 4TH AVE S, N475 GRAIN EXCHANGE, MINNEAPOLIS, MN 55415-1015
(612) 348-3963
(612) 317-6316
Mailing address
4026 WENTWORTH AVE, MINNEAPOLIS, MN 55409-1522
(612) 827-2933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2261
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4217767
—
MN
01
—
5H264PI
BLUECROSS BLUESHIELD
MN
Enumeration date
04/20/2007
Last updated
07/08/2007
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