Van Dusen, Kerry Lynn

Van Dusen, Kerry Lynn is an individual health care provider with primary practice located at 324 W Superior St Suite 400, Duluth MN 55802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Dusen, Kerry Lynn can be contacted via phone (218) 740-3026.

Contact Information

Primary practice address
324 W Superior St Suite 400 Duluth MN 55802
Fax: (218) 740-3030
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4115 Minnesota

Profile Details

NPI number 1700919073
LBN Legal business name Van Dusen, Kerry Lynn
Credentials PSYD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Dec 30th, 2021 - about 3 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 1700919073 NPPES
Minnesota Other 174M6N0 BCBS
Minnesota Other 174M7VA BCBS
Minnesota MEDICAID 705222700 BCBS

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