Individual provider · Type 1 NPI

Mary Kay Whorton, PA-C

Medical Physician Assistant · St. Cloud, MN

NPI number 1427155159 Active

Practice location

4801 Veterans Dr, Bldg 1
St. Cloud, MN 56303-2015

Call (320) 252-1670 Map

Mailing address

3420 W Saint Germain St, Apt 212
St. Cloud, MN 56301-6501

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-330 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1427155159

Mary Kay Whorton, PA-C's National Provider Identifier is 1427155159, issued on Sep 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 8, 2007.