Individual
KATHLEEN M YAPUNCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40846
MN
208000000X
Pediatrics Physician
6398A
WY
208000000X
Pediatrics Physician
Primary
68875
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959216400
—
MN
Enumeration date
02/03/2006
Last updated
09/25/2018
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