Individual
DR. KATHRYN T BOENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 HICKEY BLVD, DALY CITY, CA 94015-2770
(650) 752-2173
(650) 301-4631
Mailing address
3625 W 65TH ST, SUITE 100, EDINA, MN 55435-2106
(952) 920-7001
(952) 345-0472
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702968
MEDICA
MN
01
—
276J0TW
BCBS
MN
05
—
319800600
—
MN
Enumeration date
08/02/2006
Last updated
01/11/2022
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