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Contact Information

KAITLYN M POMMERENKE
5800 AMERICAN BLVD W APT 514
BLOOMINGTON, MN55437-1488
 Phone: 952-693-3493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for KAITLYN M POMMERENKE · (Female)

NPI Number 1992470215
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2021
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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