Individual
DIANNA MAE KACHINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 10TH AVE NE, DEER RIVER, MN 56636-8703
(218) 246-8275
(218) 246-8279
Mailing address
1025 10TH AVE NE, DEER RIVER, MN 56636-8703
(218) 246-8275
(218) 246-8279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0900388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463315600
—
MN
Enumeration date
07/03/2006
Last updated
04/29/2011
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