Individual provider · Type 1 NPI

Kailey Immen, PA-C

Physician Assistant · Minneapolis, MN

NPI number 1023739141 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Call (507) 380-6474 Map

Mailing address

412 E Main St
Arlington, MN 55307-2042

Other practice locations

  • 1620 W Harrison St, Chicago, IL 60612-3801 · (507) 380-6474

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14189 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023739141

Kailey Immen, PA-C's National Provider Identifier is 1023739141, issued on Sep 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 26, 2026.