Gendron, Kristin
Gendron, Kristin is an individual health care provider with primary practice located at 2080 Woodwinds Drive #240 , Woodbury MN 55125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Gendron, Kristin can be contacted via phone (651) 702-0750.Contact Information
Primary practice address
2080 Woodwinds Drive #240
Woodbury MN 55125
Phone: (651) 702-0750
Fax: (651) 645-6166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 49403 | Minnesota |
Profile Details
| NPI number | 1457307316 |
|---|---|
| LBN Legal business name | Gendron, Kristin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 16th, 2018 - about 6 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 | 1457307316 | NPPES |
| Minnesota | MEDICAID | 065435000 |
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