Katsares, Kiesha Marie

Katsares, Kiesha Marie is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Katsares, Kiesha Marie can be contacted via phone (813) 416-0827.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Phone: (813) 416-0827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X ARNP 3088792 Florida
Nursing Service Providers / Home Health 163WH0200X 12902 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3088792 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 12902 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP95019436 California

Profile Details

NPI number 1083608020
LBN Legal business name Katsares, Kiesha Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 19th, 2022 - about 2 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 1083608020 NPPES
Florida MEDICAID 307402100
Florida Other Y081K

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