Mahon, Kathleen M

Mahon, Kathleen M is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mahon, Kathleen M can be contacted via phone (320) 252-5731.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5731
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R-121023-9 Minnesota

Profile Details

NPI number 1790787505
LBN Legal business name Mahon, Kathleen M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1790787505 NPPES
Other 0404811 MEDICA HEALTH PLANS
Other 1018331 MEDICA HEALTH PLANS
Other HP26475 MEDICA HEALTH PLANS
Other 123119 MEDICA HEALTH PLANS
Other 52Q63MA MEDICA HEALTH PLANS

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