KATHY NICKI MENCKE

SAINT PAUL, MN
NPI1477666196
Former NameKATHY NICKI DOBBS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R078147-1)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
-- KATHY NICKI MENCKE CRNA
559 CAPITOL BLVD
SAINT PAUL, MN 55103-2101
Phone number: 651-232-2000
Mailing Address
-- KATHY NICKI MENCKE CRNA
8838 LAKE JANE TRL N
LAKE ELMO, MN 55042-8518
Phone number: 651-770-5258