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NPI Code Detail

MEDICARE: KATHRYN SIH

MEDICARE:   KATHRYN  SIH
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
1235Z00000XSpeech-Language Pathologist7114MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14600275OTHERMNMEDICA
2258S9SPOTHERMNBCBS
3HP43912OTHERMNHP

General Provider Information

NPI Number : 1477672566
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN SIH
Provider Business Mailing Address
First Line : 709 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 709 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-4804
Country : US
Telephone Number : 651-227-8471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ KATHRYN SIH ” Practice Location

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