Healthcare Provider Details

I. General information

NPI: 1285548255
Provider Name (Legal Business Name): KIRSTEN DOERING MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 7TH ST S
WAITE PARK MN
56387-1514
US

IV. Provider business mailing address

800 7TH ST S
WAITE PARK MN
56387-1514
US

V. Phone/Fax

Practice location:
  • Phone: 320-370-8308
  • Fax:
Mailing address:
  • Phone: 320-370-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number359298
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: