Individual provider · NPI-1

Kathryn Ann Alvarez, PA-C

Physician Assistant · Coon Rapids, MN

NPI number1013499367
StatusActive
Last updated in NPPESNov 18, 2024

Details

NPI
1013499367
Entity type
Individual (NPI-1)
Name
Kathryn Ann Alvarez
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2018
Certification date
Nov 18, 2024
Last updated
Nov 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant12802MNYes

Other names

  • Kathryn Ann Peterson (Former Name)

Practice location

4040 Coon Rapids Blvd Nw Ste 120
Coon Rapids, MN 55433-4568

Phone 634-279-9807 · Fax 763-427-0904

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-9000 · Fax 763-581-9090

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