Individual
DR. KATHLEEN MARIE VIRGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12670 LAKE BLVD, LINDSTROM, MN 55045
(651) 257-1000
(651) 257-1020
Mailing address
12670 LAKE BLVD, PO BOX 482, LINDSTROM, MN 55045
(651) 257-1000
(651) 257-1020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2700
MN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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