Individual provider · Type 1 NPI
Kyle J. Smisek, PA
Surgical Physician Assistant · Faribault, MN
NPI number
1336653864
Active
Practice location
1645 Lyndale Ave N Ste 103
Faribault, MN 55021-2935
Mailing address
704 Nevada St
Northfield, MN 55057-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 12563 (MN) |
Surgical Physician Assistant: Definition to come...
5 other providers at this address
- Bradley Robert Wille, MDOrthopaedic Surgery Physician Faribault, MN NPI 1023083045
- Clinton Arthur Muench, MDOrthopaedic Surgery Physician Faribault, MN NPI 1912972936
- Debra Mary McGuire Lang, PA-CPhysician Assistant Faribault, MN NPI 1649233081
- Hans Carl Bengtson, MDOrthopaedic Surgery Physician Faribault, MN NPI 1043499577
- Robert Warren Shepley, MDOrthopaedic Surgery Physician Faribault, MN NPI 1902871866
About NPI 1336653864
Kyle J. Smisek, PA's National Provider Identifier is 1336653864, issued on Nov 20, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Faribault, MN. The record was last updated on Nov 20, 2017.