Kathyrn Lynn Hookom – Contractor in Starbuck, MN

Key facts

NPI: 1184778367
Entity type: Individual (NPI type 1)
Primary specialty: Contractor 171W00000X
License: 334364 (MN)
Practice address: 706 Pope St
Starbuck, MN 56381-2387
Phone: (320) 239-4881
NPI assigned: Jan 23, 2007
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
334364	MN	MD	Contractor

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Contractor	171W00000X	334364	MN	Yes

Addresses

Primary practice location

706 Pope St
Starbuck, MN 56381-2387

Mailing address

706 Pope Street
Starbuck, MN 56381
Phone (320) 239-4881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184778367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 POPE STREET",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "56381",
            "telephone_number": "320-239-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 POPE ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812387",
            "telephone_number": "320-239-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKOM",
        "first_name": "KATHYRN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MN",
            "license": "334364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starbuck, MN

All providers in Starbuck, MN · Contractor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.