Basic Information
| Provider Information | |||||||||
| NPI: | 1407152846 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALTMANN | ||||||||
| FirstName: | KATHY | ||||||||
| MiddleName: | JO | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 504 S 4TH ST | ||||||||
| Address2: | |||||||||
| City: | OLIVIA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 562771431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205235788 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 246 MAIN ST S | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553502587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205875162 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2011 | ||||||||
| LastUpdateDate: | 02/02/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R064157-9 | MN | Y | Nursing Service Providers | Registered Nurse |
No ID Information.