Individual provider · Type 1 NPI

Kelly Jean Perrault, PA-C

Medical Physician Assistant · St. Louis Park, MN

NPI number 1437392040 Active

Practice location

6500 Excelsior Blvd, Heart And Vascular Center, 1st Floor
St. Louis Park, MN 55426-4702

Call (651) 492-3064 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1256 (MN)

Medical Physician Assistant: Definition to come...

681 other providers at this address

Other medical physician assistant providers in St. Louis Park

See all in St. Louis Park →

About NPI 1437392040

Kelly Jean Perrault, PA-C's National Provider Identifier is 1437392040, issued on Apr 13, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 10, 2021.