Provider Demographics
NPI:1831894468
Name:STENSGARD, KATHRYN PATRICIA (CPHT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:PATRICIA
Last Name:STENSGARD
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:PATRICIA
Other - Last Name:MCFADDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7825 MANNING AVE S
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-9451
Mailing Address - Country:US
Mailing Address - Phone:507-421-7833
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN722071183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician