Peter, Kathleen S

Peter, Kathleen S is an individual health care provider with primary practice located at 3931 Louisiana Ave S Ste E400, St Louis Park MN 55426-4375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Peter, Kathleen S can be contacted via phone (952) 993-3230.

Contact Information

Primary practice address
3931 Louisiana Ave S Ste E400 St Louis Park MN 55426-4375
Phone: (952) 993-3230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34659 Minnesota

Profile Details

NPI number 1821072166
LBN Legal business name Peter, Kathleen S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 6th, 2012 - 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 1821072166 NPPES
Minnesota MEDICAID 589078100

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