Eisenmenger Fuentes, Kathryn Susan

Eisenmenger Fuentes, Kathryn Susan is an individual health care provider with primary practice located at 2854 Highway 55 Suite 130, Eagan MN 55121-2156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Eisenmenger Fuentes, Kathryn Susan can be contacted via phone (651) 842-3320.

Contact Information

Primary practice address
2854 Highway 55 Suite 130 Eagan MN 55121-2156
Phone: (651) 842-3320
Fax: (651) 224-5273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1514 Minnesota

Profile Details

NPI number 1306149539
LBN Legal business name Eisenmenger Fuentes, Kathryn Susan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2010
Last updated Dec 13th, 2010 - about 15 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.

Request for update

Popular Providers