| Doctor Name: | KATHLEEN M SIMPSON |
| NPI Number: | 1093952137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | R 069715-4 |
| Business Practice Address: | 126 E Alcott Ave Fergus Falls, MN - 565372903 |
| Business Phone Number: | 2187391725 |
| Business Fax Number: | 2187366980 |
| Mailing Address: | 44907 Nitche Lake Rd, PERHAM |
| State: | MN |
| Postal Code: | 565738889 |
| Phone Number: | 2183464198 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 01/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | R 069715-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |