MS. KATHRYN MARIE DORR P.A. NPI 1871546903

NPI Information

NPI: 1871546903
Provider Name: MS. KATHRYN MARIE DORR, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2545 CHICAGO AVE
SUITE 500
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 863-7770
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MS. Kathryn Marie Dorr, P.A. is a surgical physician assistant in Minneapolis, MN. MS. Kathryn Marie Dorr, P.A. NPI is 1871546903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2545 CHICAGO AVE
SUITE 500
MINNEAPOLIS, MN
ZIP 55404-522
Phone: (612) 863-7770
Fax: (612) 863-7772

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	8882	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	886298200	MEDICAID	MINNESOTA
2	18390	OTHER	MINNESOTA	HEALTHPARTNERS
3	1700668	OTHER	MINNESOTA	MEDICA
4	13T70GR	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
5	31732900	OTHER	MINNESOTA	WISCONSIN MA
6	116988D147	OTHER	MINNESOTA	UCARE
7	CO2058	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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