Madden, Kathleen L
Madden, Kathleen L is an individual health care provider with primary practice located at 1000 E 1St St Ste 203 , Duluth MN 55805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Madden, Kathleen L can be contacted via phone (218) 249-6450.Contact Information
Primary practice address
1000 E 1St St Ste 203
Duluth MN 55805
Phone: (218) 249-6450
Fax: (218) 249-6451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R 099297-2 | Minnesota |
Profile Details
| NPI number | 1518946318 |
|---|---|
| LBN Legal business name | Madden, Kathleen L |
| Credentials | RN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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 | 1518946318 | NPPES |
| Minnesota | MEDICAID | 131637100 |
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