| Doctor Name: | MRS. KIRSTEN MARIE KORTESMA |
| NPI Number: | 1053644765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R160757-0 |
| Business Practice Address: | 927 Trettel Ln Cloquet, MN - 557201345 |
| Business Phone Number: | 2188791227 |
| Business Fax Number: | |
| Mailing Address: | 5122 Mcdonnell Rd, DULUTH |
| State: | MN |
| Postal Code: | 558043212 |
| Phone Number: | 2185252403 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2009 |
| NPI Last Update Date: | 07/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R160757-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |