Individual
SHANA KATHLYN KONGSJORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 10TH AVE NE, DULUTH CLINIC DEER RIVER, DEER RIVER, MN 56636-8703
(218) 246-8275
Mailing address
1025 10TH AVE NE, DULUTH CLINIC DEER RIVER, DEER RIVER, MN 56636-8703
(218) 246-8275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R179908-0
MN
Other
Enumeration date
03/31/2010
Last updated
04/29/2011
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