KRISTINE LEONARD KNUDTEN (NPI# 1154319705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154319705 |
| Entity Type | Individual |
| Full Name | KRISTINE LEONARD KNUDTEN |
| Credential | MD |
| Practice Address |
1805 Hennepin Ave North Glencoe MN 55336 |
| Practice Telephone | 3208643121 |
| Practice Fax Number | 3208647887 |
| Mailing Telephone | 3208643121 |
| Mailing Fax Number | 3208647887 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2008-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 41303 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1805 HENNEPIN AVE NORTH |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194832287 | Glencoe Regional Health Services | Medicare Defined Swing Bed Unit | 1805 Hennepin Ave North, Glencoe, MN 55336-1416 | 2006-08-24 |
| 1518074632 | Glencoe Regional Health Services | Durable Medical Equipment & Medical Supplies | 1805 Hennepin Ave North, Glencoe, MN 55336-1416 | 2006-08-24 |
| 1124089917 | Laura Jean Olson | Surgery | 1805 Hennepin Ave North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617405 | Jane Ann Forester | Family Medicine | 770 Bluff St, Glencoe, IL 60022-1505 | 2012-12-26 |
| 1730102369 | Karen Stone | Family Medicine | 700 Chastain Blvd W, Glencoe, AL 35905-2011 | 2006-07-25 |
| 1831533512 | Kristen Lynn Budahn | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2013-04-24 |
| 1417248568 | Tyler James Helland | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2011-04-25 |
| 1003878679 | Timothy F Lane | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2006-04-06 |
| 1083692008 | James W Jessen | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2006-01-09 |
| 1013998517 | Michael Patrick Mccarthy | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-11-10 |
| 1487643813 | Brent S Williams | Family Medicine | 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 | 2005-10-18 |
| 1598754335 | Amanda Elizabeth Leino | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-10-14 |
| 1225027162 | Douglas Lee Wagoner | Family Medicine | 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 | 2005-10-13 |
| Find all providers in GLENCOE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.