| Doctor Name: | MARSHA ELLEN KAEHNE |
| NPI Number: | 1245669332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C, RN |
| License Number: | R 185382-9 |
| Business Practice Address: | 119 Aspen Ave. Cass Lake, MN - 56633 |
| Business Phone Number: | 2183354521 |
| Business Fax Number: | 2183354541 |
| Mailing Address: | 119 Aspen Ave., CASS LAKE |
| State: | MN |
| Postal Code: | 56633 |
| Phone Number: | 2183354521 |
| Fax Number: | 2183354541 |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R 185382-9 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |