Provider Demographics
NPI:1609093863
Name:HUNTER, KATHRYN AN GREENBAUM (DVM)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN AN
Middle Name:GREENBAUM
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2049 OAKRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-5334
Mailing Address - Country:US
Mailing Address - Phone:651-578-3290
Mailing Address - Fax:
Practice Address - Street 1:2201 VENTURA DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4337
Practice Address - Country:US
Practice Address - Phone:651-578-3290
Practice Address - Fax:651-578-3261
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN151-89174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN151-89OtherSTATE LICENSE