Individual
MR. KENNETH BRUCE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(952) 854-6066
(952) 854-6766
Mailing address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(952) 854-6066
(952) 854-6766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101776
UCARE
MN
01
—
3033056
HEALTH PARTNERS
MN
01
—
553869
VALUE OPTIONS
MN
01
—
6237451
MEDICA
MN
01
—
64G51SU
BLUE CROSS BLUE SHIELD MN
MN
01
—
990990306005
PREFERRED ONE
MN
Enumeration date
03/14/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us