Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 50643 | MN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 50643 | MN |
N | 207VG0400X | Gynecologist | 50643 | MN |
NPI | 1083658181 |
---|---|
Provider Name | Kimberly Anne Gerten |
First Address | Edina, MN 55435-2141 |
Second Address | Edina, MN 55435-2141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009931828 | (05) | AL |
009931829 | (05) | AL |
009931831 | (05) | AL |
009931832 | (05) | AL |
051529675 | BLUE CROSS (01) | AL |
051529676 | BLUE CROSS (01) | AL |
051529677 | BLUE CROSS (01) | AL |
051529678 | BLUE CROSS (01) | AL |
051529681 | BLUE CROSS (01) | AL |
528200140 | (05) | AL |