Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Katherine Ann Tyson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184470957

Dr. Katherine Ann Tyson, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Delaware St SE Mmc 195
Minneapolis, MN 55455-0341
Phone: (612) 625-6483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184470957
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 16, 2024

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