Provider Demographics
NPI:1417399494
Name:ALBIN, KATHRYN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:E
Last Name:ALBIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 SUPERIOR DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-5024
Mailing Address - Country:US
Mailing Address - Phone:507-289-3921
Mailing Address - Fax:507-424-2943
Practice Address - Street 1:2056 SUPERIOR DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-5024
Practice Address - Country:US
Practice Address - Phone:507-289-3921
Practice Address - Fax:507-424-2943
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13302122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN410967165OtherEMPLOYER