Kathleen Sulentich MD Facog LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

KATHLEEN SULENTICH MD FACOG LTD

Practice address

307 1St St S
Suite 112
Virginia, MN 55792-2696

Phone

(218) 741-6221

Fax

(218) 741-2550

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Sulentich, MD

Title

Owner

Phone

(218) 741-6221

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1881798585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 13TH AVE E",
            "address_2": "SUITE 6",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463675",
            "telephone_number": "218-263-7540",
            "fax_number": "866-732-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST ST S",
            "address_2": "SUITE 112",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922696",
            "telephone_number": "218-741-6221",
            "fax_number": "218-741-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN SULENTICH MD FACOG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SULENTICH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-741-6221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85263SU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn F Johnson
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• Stefan Leroy Kaiser, MD
• Jayden L Karppinen
• Joan V Kaurala
• Amanda Lea Keough, APRN, CNP
• Christine F Ketelsen, MSW LICSW
• Showkat Hayat Khan
• Brandi Lynn Kilbourn, OT

• Obstetrics & Gynecology Physician in Virginia, MN
• Providers in Virginia, MN by specialty
• Obstetrics & Gynecology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.