Hall, Kathryn Naomi

Hall, Kathryn Naomi is an individual health care provider with primary practice located at 2115 County Road D E Suite B, Maplewood MN 55109-5353. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Hall, Kathryn Naomi can be contacted via phone (651) 748-5019.

Contact Information

Primary practice address
2115 County Road D E Suite B Maplewood MN 55109-5353
Phone: (651) 748-5019
Fax: (651) 773-7591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3782 Minnesota

Profile Details

NPI number 1114091709
LBN Legal business name Hall, Kathryn Naomi
Credentials L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1114091709 NPPES
Minnesota MEDICAID 036316200
Minnesota Other 375G3HA
Minnesota Other HP45668
Minnesota Other 6267153
Minnesota Other 111201

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