Doctor Name: | MS. KATHLEEN R INGLE |
NPI Number: | 1811949266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R-194623-1 |
Business Practice Address: | 1116 Mill St W Cannon Falls, MN - 550091824 |
Business Phone Number: | 5072634221 |
Business Fax Number: | |
Mailing Address: | 1116 Mill St W, CANNON FALLS |
State: | MN |
Postal Code: | 550091824 |
Phone Number: | 5072634221 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R-194623-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |