Provider Demographics
NPI:1487846978
Name:LEONE, KATRINA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:ANNE
Last Name:LEONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATRINA
Other - Middle Name:ANNE
Other - Last Name:OPPEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1450
Mailing Address - Country:US
Mailing Address - Phone:612-273-6402
Mailing Address - Fax:612-237-0169
Practice Address - Street 1:2450 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1450
Practice Address - Country:US
Practice Address - Phone:612-273-6402
Practice Address - Fax:612-237-0169
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN55357207P00000X
ORMD151137207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine