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Contact Information

KATHLEEN C BRADDY, MD
402 E 2ND ST
DULUTH, MN55805-1906
 Phone: 218-786-3443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN C BRADDY · (Female)

NPI # 1356380992
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 05/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 46670
  • MN Medicaid 657690700
Hospital affiliation(s)
  • ESSENTIA HEALTH DULUTH - (Acute Care)
    502 EAST SECOND STREET
    DULUTH, MN 55805
  • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care)
    407 EAST THIRD STREET
    DULUTH, MN 55805
  • ST MARYS HSPTL SUPERIOR - (Critical Access)
    3500 TOWER AVE
    SUPERIOR, WI 54880
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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