Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN VAN THIEU
ActiveKATHLEEN VAN THIEU is a Periodontology healthcare provider located in LAKE ELMO, Minnesota. NPI 1588194567 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LAKE ELMO, MN
Registration Details
- NPI Number
- 1588194567
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2017 (9.1410190815833 yrs)
- Last Updated
- Dec 3, 2020
- License
-
D13834 (MN)
Practice Information
- Address
-
8650 HUDSON BLVD N STE 105LAKE ELMO, MN, 550428416Browse MN providers · Browse ZIP 55042
- Phone
- 9524449511
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in LAKE ELMO, MN
| Name | Credential | NPI |
|---|---|---|
| DR. FATIMA A TIWANA | BDS | 1124458609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.