Brandli, Kathy H.

Brandli, Kathy H. is an individual health care provider with primary practice located at 4570 Cty. Hwy. 61 , Moose Lake MN 55767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brandli, Kathy H. can be contacted via phone (218) 485-4491.

Contact Information

Primary practice address
4570 Cty. Hwy. 61 Moose Lake MN 55767
Fax: (218) 485-4724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46671 Minnesota

Profile Details

NPI number 1265467658
LBN Legal business name Brandli, Kathy H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 4th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265467658 NPPES
Minnesota MEDICAID 014934900

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