Provider Demographics
NPI:1871616417
Name:LOVE, KATHRYN RUTH (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:RUTH
Last Name:LOVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11676 WAYZATA BLVD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2009
Mailing Address - Country:US
Mailing Address - Phone:952-746-8360
Mailing Address - Fax:952-746-8368
Practice Address - Street 1:11676 WAYZATA BLVD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-2009
Practice Address - Country:US
Practice Address - Phone:952-746-8360
Practice Address - Fax:952-746-8368
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN27429207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA95726Medicare UPIN