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Individual

KATHRYN JANE SANDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
2322 GREYSOLON RD, DULUTH, MN 55812-2206
(218) 724-9613
Mailing address
2322 GREYSOLON RD, DULUTH, MN 55812-2206
(219) 724-9613

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1118645
MN
367A00000X
Advanced Practice Midwife
Primary
CNM0160
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
369169100
MN
Enumeration date
02/11/2007
Last updated
12/27/2019
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