| Doctor Name: | MRS. KATIE R EVANS |
| NPI Number: | 1114351376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 908 |
| Business Practice Address: | 809 N 6th Ave Virginia, MN - 557922308 |
| Business Phone Number: | 2187493818 |
| Business Fax Number: | 2187493874 |
| Mailing Address: | 809 N 6th Ave, VIRGINIA |
| State: | MN |
| Postal Code: | 557922308 |
| Phone Number: | 2187493818 |
| Fax Number: | 2187493874 |
| NPI Enumeration Date: | 08/23/2013 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |