Individual provider · Type 1 NPI
Kathryn Jelle, PA-C
Medical Physician Assistant · St. Louis Park, MN
NPI number
1538545686
Active
Practice location
3931 Louisiana Ave S # 55426
St. Louis Park, MN 55426-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 11839 (MN) |
Medical Physician Assistant: Definition to come...
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About NPI 1538545686
Kathryn Jelle, PA-C's National Provider Identifier is 1538545686, issued on Jul 30, 2015. 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 Jul 30, 2015.