NPI 1760837082

Kathryn Pearson-Brevik

Practitioner Exclusive Provider Organization Gilbert, MN

Practice location

Address: 6483 Heritage Trl, Gilbert, MN 55741-8029
Phone: (218) 865-7021

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1072919-2-HCBS (MN)

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Registry record

NPI: 1760837082
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2016
Record last updated: 25 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.