Individual provider · Type 1 NPI

Kaitlin Buckner, P.A.

Physician Assistant · Woodbury, MN

NPI number 1104852094 Active

Practice location

6043 Hudson Rd Ste 220
Woodbury, MN 55125-1033

Call (651) 925-8200 Map

Fax (651) 925-8201

Mailing address

64 Touchstone
Lake Oswego, OR 97035-1909

Other practice locations

  • 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970 · (800) 813-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6669778-1206 (UT)
Physician Assistant 363A00000X3127 (AZ)
Physician Assistant 363A00000X1414 (OK)
Physician Assistant 363A00000XPA223121 (OR)
Physician Assistant 363A00000XPADA1230 (AK)
Physician Assistant 363A00000XPA65471 (CA)
Physician Assistant Primary 363A00000X10495 (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…

7 other providers at this address

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About NPI 1104852094

Kaitlin Buckner, P.A.'s National Provider Identifier is 1104852094, issued on Jun 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Woodbury, MN. The record was last updated on May 18, 2025.