Individual
KATE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E NICOLLET BLVD, BURNSVILLE, MN 55337-4522
(952) 460-4000
Mailing address
4721 KILLARNEY DR, GOLDEN VALLEY, MN 55422-4806
(651) 295-4867
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
369
MN
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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