All Medicaid billing entities listing MORTENSEN, KATHY (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $29K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ATHLOS ACADEMY OF ST. CLOUD | SAINT CLOUD, MN | Local Education Agency (LEA) | $29K |