Sweetman, Kathleen M

Sweetman, Kathleen M is an individual health care provider with primary practice located at 424 W Highway 5 , Waconia MN 55387-1723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sweetman, Kathleen M can be contacted via phone (952) 442-4461.

Contact Information

Primary practice address
424 W Highway 5 Waconia MN 55387-1723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26676 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26676 Minnesota

Profile Details

NPI number 1144277047
LBN Legal business name Sweetman, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 23rd, 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 1144277047 NPPES
Other 64D92SW BCBS
Other HP11566 BCBS
MEDICAID 798862100 BCBS
Other 01013410 BCBS
Other 66-08240 BCBS

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