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NPI Code Detail

MEDICARE: KATHRYN MACHIN

MEDICARE: KATHRYN MACHIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMN

General Provider Information

NPI Number : 1265365480
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MACHIN
Provider Business Mailing Address
First Line : 1994 E RUM RIVER DR S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-2663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1994 E RUM RIVER DR S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-2663
Country : US
Telephone Number : 763-688-0659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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Directions to “ KATHRYN MACHIN ” Practice Location

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