Individual
KATHLEEN MICHELLE RAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E. 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4580
(612) 863-1169
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699945808
NPI
MN
Enumeration date
03/04/2008
Last updated
11/10/2020
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