Beckman, Kathleen Ann
Beckman, Kathleen Ann is an sole proprietor health care provider with primary practice located at 3400 W 66Th St Suite 290, Edina MN 55435-2111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Beckman, Kathleen Ann can be contacted via phone (952) 914-1745.Contact Information
Primary practice address
3400 W 66Th St Suite 290
Edina MN 55435-2111
Phone: (952) 914-1745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R076489-2 | Minnesota |
Profile Details
| NPI number | 1457338337 |
|---|---|
| LBN Legal business name | Beckman, Kathleen Ann |
| Credentials | RN, CNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Aug 5th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457338337 | NPPES |
| Minnesota | MEDICAID | 5506204-00 |
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