Provider Demographics
NPI:1144571555
Name:DUNN, KATHLEEN RAND (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:RAND
Last Name:DUNN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 5TH ST NW
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND FORKS
Mailing Address - State:MN
Mailing Address - Zip Code:56721-1822
Mailing Address - Country:US
Mailing Address - Phone:218-773-3957
Mailing Address - Fax:
Practice Address - Street 1:118 5TH ST NW
Practice Address - Street 2:
Practice Address - City:EAST GRAND FORKS
Practice Address - State:MN
Practice Address - Zip Code:56721-1822
Practice Address - Country:US
Practice Address - Phone:218-773-3957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR20348163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse