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

Kathleen Van Thieu

Individual provider Periodontics · NPI 1588194567

Kathleen Van Thieu is a Periodontics in Lake Elmo, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017

Practice location Address checks out

8650 Hudson Blvd N Ste 105
Lake Elmo, MN 55042-8416
Phone: (952) 444-9511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1790 7th St E, Saint Paul, MN 55119-3419 — (651) 735-0595
  • 515 Delaware St Se, Minneapolis, MN 55455-5545 — (612) 625-5166

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D13834 (MN)

Record details

NPI number1588194567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address2200 County Road C W Ste 2210, Roseville, MN 55113-2551

Other providers in Lake Elmo