Kathleen C Spencer PA-C

NPI 1043297534 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043297534
Gender Female
Enumeration Date 12/27/2005
Last Updated 06/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
300 LAKE DR E
CHANHASSEN MN, 55317-9302, US
Phone (952) 993-4327
Fax (952) 993-4320
Business Location
300 LAKE DR E
CHANHASSEN MN, 55317-9302, US
Phone (952) 993-4327
Fax (952) 993-4320
Toxanomy
Taxonomy Code 363AM0700X
License State Minnesota
License Number 9408
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According to our database, Kathleen C Spencer PA-C NPI is 1043297534, taxonomy code is 363AM0700X and license number is 9408, license state is located at Minnesota. Kathleen C Spencer PA-C physically located at 300 Lake Dr E, Chanhassen MN, 55317-9302. NPI Number Kathleen C Spencer PA-C has the Individual type.

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1043297534 NPI number is provided on an as is basis without warranty of any kind. 1043297534 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen C Spencer PA-C are for informational purposes only.