Daly, Katherine Ann
Daly, Katherine Ann is an individual health care provider with primary practice located at 1660 South Hwy 100 Parkdale Plaza Suite 598, St Louis Park MN 55416. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Daly, Katherine Ann can be contacted via phone (763) 520-1631.Contact Information
Primary practice address
1660 South Hwy 100 Parkdale Plaza Suite 598
St Louis Park MN 55416
Phone: (763) 520-1631
Fax: (952) 546-0715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39009 | Minnesota |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 39009 | Minnesota |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 39009 | Minnesota |
Profile Details
NPI number | 1922162155 |
---|---|
LBN Legal business name | Daly, Katherine Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2006 |
Last updated | Sep 29th, 2015 - about 9 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 | 1922162155 | NPPES |
Minnesota | MEDICAID | 600927100 |
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