Individual provider · Type 1 NPI
Kelsey Marie Henningson-Kaye, PA-C
Medical Physician Assistant · Ortonville, MN
NPI number
1093976540
Active
Practice location
450 Eastvold Ave, Ortonville Area Health Services/northside Medical Clini
Ortonville, MN 56278-1252
Fax (320) 839-3851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10580 (MN) |
| Medical Physician Assistant | 363AM0700X | 2260-023 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1093976540
Kelsey Marie Henningson-Kaye, PA-C's National Provider Identifier is 1093976540, issued on Jun 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ortonville, MN. The record was last updated on Aug 2, 2025.