Individual
MS. KATHERINE ANN DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1660 SOUTH HWY 100, PARKDALE PLAZA SUITE 598, ST LOUIS PARK, MN 55416
(763) 520-1631
(952) 546-0715
Mailing address
507 HOLLY CIRCLE, WAYZATA, MN 55391
(952) 473-9575
(952) 546-0715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39009
MN
2084P0800X
Psychiatry Physician
39009
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
39009
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600927100
—
MN
Enumeration date
12/21/2006
Last updated
09/29/2015
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