Individual
KATRINA KRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
701 25TH AVE S, MINNEAPOLIS, MN 55454-1513
(612) 330-1757
Mailing address
9324 BALSAM FIR AVE N, BROOKLYN PARK, MN 55443-1797
(763) 245-8498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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