Individual
KATHLEEN KONETZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2305 MINNESOTA BLVD, MINN CORRECTIONAL FACILITY, SAINT CLOUD, MN 56304-2424
(320) 240-3088
(320) 240-7087
Mailing address
2305 MINNESOTA BLVD, MINN CORRECTIONAL FACILITY, SAINT CLOUD, MN 56304-2424
(320) 240-3088
(320) 240-7087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 070073-7
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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