Individual
KATHRYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13139 LAKE PLACE RD, ZIMMERMAN, MN 55398-9567
(701) 260-5358
(763) 856-2773
Mailing address
13139 LAKE PLACE RD, ZIMMERMAN, MN 55398-9567
(701) 260-5358
(763) 856-2773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1760860
MN
Other
Enumeration date
04/19/2007
Last updated
02/09/2010
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