NPI 1144712084 · live from the CMS NPI Registry
Kathlyn Elise Callenius, DO
Psychiatry & Neurology, Neurology in Brainerd, MN. National Provider Identifier 1144712084, active.
NPI record
| NPI | 1144712084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2024 S 6th St, Brainerd, MN 56401 |
| Practice phone | 218-828-2880 |
| Enumerated | June 6, 2018 |
| Last updated | October 10, 2022 |
| Sole proprietor | No |
| Other names | Kathlyn Jensen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | OT018685 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 70968 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.