Most Relevant Information
Provider Data
| NPI Number: | 1003375106 |
| Provider Name: | KATHRYN O GLYNN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2019 |
| Last Updated: | 03/18/2019 |
Provider Practice Location
3908 LILLIE CT SW
ROCHESTER
MN
559021609
Practice Location Phone/Fax
| Phone: | 5079235010 |
| Fax: |
Provider Mailing Location
3908 LILLIE CT SW
ROCHESTER
MN
559021609
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |