Kimberly Ann Krohn, MD
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Duluth, MN
NPI 1164534533 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1164534533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- 102649 (MN)
- Practice address
- 400 E 3Rd St
Duluth, MN 55805-1951 - Phone
- (218) 786-8364
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060911000040 | MN | Practitioner - Neurology |
0244234029 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 102649 | MN | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 102649 | MN | Yes |
Addresses
Primary practice location
400 E 3Rd St
Duluth, MN 55805-1951
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other providers in Duluth, MN
- Richard Josef Krikava
- Sophia Lynn Krikava
- Curtis Allen Kristensen
- Jessica Arrlette Krog-Breeuwer
- Jennifer Lynn Krog
- Erin C Krois
- Peter Joseph Kroll
- Mirko Krolo
- Richard Lawrence Kronzer
- James Edward Krook
All providers in Duluth, MN · Neurology with Special Qualifications in Child Neurology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.