Herman, Kay Van Altuorst

Herman, Kay Van Altuorst is an individual health care provider with primary practice located at 1015 Marsh St , Mankato MN 56001-4752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Herman, Kay Van Altuorst can be contacted via phone (507) 389-4700.

Contact Information

Primary practice address
1015 Marsh St Mankato MN 56001-4752
Phone: (507) 389-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10193 Minnesota

Profile Details

NPI number 1649380858
LBN Legal business name Herman, Kay Van Altuorst
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 11th, 2013 - about 12 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 1649380858 NPPES
Minnesota MEDICAID 240633000

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