Provider Demographics
NPI:1003792243
Name:BILLINGS, KATHRYN JANE
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JANE
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 ELM ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NICOLLET
Mailing Address - State:MN
Mailing Address - Zip Code:56074-3000
Mailing Address - Country:US
Mailing Address - Phone:262-232-1330
Mailing Address - Fax:
Practice Address - Street 1:503 ELM ST APT 1
Practice Address - Street 2:
Practice Address - City:NICOLLET
Practice Address - State:MN
Practice Address - Zip Code:56074-3000
Practice Address - Country:US
Practice Address - Phone:262-232-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician