Individual
KATHRYN A MELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
614 MICHIGAN AVE W, WALKER, MN 56484-2276
(218) 547-7700
(218) 547-7729
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5628
AK
207Q00000X
Family Medicine Physician
Primary
57000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508186362
—
MN
05
—
MD1542
—
AK
Enumeration date
06/03/2010
Last updated
06/28/2023
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