Individual
DR. KERRI LYN HARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 CAMPUS DR STE 20, PLYMOUTH, MN 55441-2669
(763) 398-6383
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-8812
(763) 398-4400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
60763
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201223401
—
MO
Enumeration date
07/19/2006
Last updated
02/14/2024
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