Individual provider · Type 1 NPI

Madeleine Marie Kennedy

Physician Assistant · Mankato, MN

NPI number 1043015852 Active

Practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15414 (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 1043015852

Madeleine Marie Kennedy's National Provider Identifier is 1043015852, issued on Feb 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mankato, MN. The record was last updated on Nov 20, 2025.