Individual
KATHRINE LYNNE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MS
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 428-1800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017097600
—
MN
Enumeration date
12/01/2006
Last updated
01/06/2023
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