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KATIE R EVANS, DPM – NPI #1114351376
Surgery, Foot & Ankle

NPI Profile for Dr KATIE R EVANS in VIRGINIA, MN.

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Contact Information

KATIE R EVANS, DPM
616 9TH ST N
VIRGINIA, MN  55792-2320
 Phone: 218-749-3818
 Fax: 218-749-3874
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KATIE R EVANS · (Female)

NPI # 1114351376
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/23/2013
Last updated 09/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 908
  • MN Medicaid 1114351376
Hospital affiliation(s)
  • ELY BLOOMENSON COMMUNITY HOSPITAL - (Critical Access)
    328 WEST CONAN STREET
    ELY, MN 55731
  • VIRGINIA REGIONAL MEDICAL CENTER - (Acute Care)
    901 9TH STREET NORTH
    VIRGINIA, MN 55792
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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