| Doctor Name: | DR. KATHLEEN SULENTICH |
| NPI Number: | 1831149046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D./F.A.C.O.G. |
| License Number: | 19781 |
| Business Practice Address: | 307 1st St S Suite 112 Virginia, MN - 557922696 |
| Business Phone Number: | 2187416221 |
| Business Fax Number: | 2187412550 |
| Mailing Address: | 3920 13th Ave E, Suite 6 HIBBING |
| State: | MN |
| Postal Code: | 557463675 |
| Phone Number: | 2182637540 |
| Fax Number: | 8667320699 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 03/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 19781 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |