Individual
KATHRYNE JOHANNE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Mailing address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
099600
IA
363A00000X
Physician Assistant
Primary
13666
MN
Other
Enumeration date
01/27/2020
Last updated
02/18/2026
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