Individual
KRISTIN MARY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7690
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002009
IA
363A00000X
Physician Assistant
Primary
10930
MN
Other
Enumeration date
07/09/2009
Last updated
10/25/2013
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