Individual
DR. KATHRYN GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7670
(651) 254-7676
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56059
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56059
MN
207RP1001X
Pulmonary Disease Physician
05-37991
KS
207RP1001X
Pulmonary Disease Physician
Primary
56059
MN
Other
Enumeration date
05/30/2011
Last updated
02/06/2024
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