Individual
KAITLIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
Mailing address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 722-1497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 228856-1
MN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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