Individual
DR. KATHRYN EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1965 FORD PKWY, SAINT PAUL, MN 55116-1923
(651) 696-5520
(612) 375-9567
Mailing address
PO BOX 14826, MINNEAPOLIS, MN 55414-0826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43137
MN
207Q00000X
Family Medicine Physician
MD-47063
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138488100
—
MN
Enumeration date
06/17/2005
Last updated
05/13/2020
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