Individual
KATHLEEN M BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
435 PHALEN BLVD, 51103B, SAINT PAUL, MN 55130-5302
(651) 254-8600
(651) 254-8638
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-8680
(651) 254-8656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0932864
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305481100
—
MN
Enumeration date
03/23/2006
Last updated
02/08/2019
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