Individual
KATHRYN CAROLYN HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-6000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30931
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232287100
—
MN
Enumeration date
12/18/2006
Last updated
05/09/2011
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