Kiesha Marie Katsares in Minnetonka - Adult Health

Kiesha Marie Katsares - NPI 1083608020

Kiesha Marie Katsares is a Adult Health in Minnetonka, Minnesota. Kiesha Marie Katsares practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kiesha Marie Katsares is 1083608020. The last update date is 2022-02-19.

Kiesha Marie Katsares's current location address is 9900 Bren Rd E, Minnetonka, Minnesota. You can contact this provider via phone number 8134160827. The mailing address for Kiesha Marie Katsares is 9900 Bren Rd E, Minnetonka, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kiesha Marie Katsares
Address 9900 Bren Rd E, Minnetonka, Minnesota
Phone Number 8134160827
Fax Number
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1083608020
Provider Enumeration Date 2005-09-06
Last Updated Date 2022-02-19

Provider Mailing Address Detail

Address 9900 Bren Rd E
City Minnetonka
State Minnesota (MN)
Post Code 553439664
Phone Number 8134160827
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No ARNP3088792
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
307402100 FL --
Y081K FL BCBS

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FAQs about Kiesha Marie Katsares

What is the unique 10-digit identifier code issued to Kiesha Marie Katsares by the Centers for Medicare & Medicaid Services?

The Kiesha Marie Katsares has been assigned the NPI (National Provider Identifier) 1083608020 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kiesha Marie Katsares?

The Kiesha Marie Katsares is physically situated at 9900 Bren Rd E, in the city of Minnetonka, state of MN, with the postal code 553439664.

What is the area of specialization for Kiesha Marie Katsares, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kiesha Marie Katsares is Adult Health, and the corresponding taxonomy code that categorizes this area of expertise is 363La2200X.

On what date did the Kiesha Marie Katsares receive the assignment of its 1083608020 from the Centers for Medicare & Medicaid Services?

The Kiesha Marie Katsares was issued its 1083608020 by the Centers for Medicare & Medicaid Services on 2005-09-06.

When was the information pertaining to Kiesha Marie Katsares most recently updated or revised?

The details related to Kiesha Marie Katsares, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-19.

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