Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 14947 | ND |
N | 208600000X | Surgeon | 14947 | ND |
N | 208200000X | Surgeon | TRL 12409 | ND |
N | 208600000X | Surgeon | TRL 12409 | ND |
Y | 2086S0102X | Surgical Critical Care | 119648 | AK |
N | 2086S0102X | Surgical Critical Care | 14947 | ND |
NPI | 1134474810 |
---|---|
Provider Name | Katherine Alice Senter |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 21/04/2020 |