Search › Minnesota › 374J00000X
Katherine Champ
NPI 1710375993 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2520 W 105th St
Bloomington, MN 55431 - Phone
- (612) 865-8036
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota