Individual provider · Type 1 NPI

Kyle R. Exsted, PAC

Surgical Physician Assistant · Robbinsdale, MN

NPI number 1669679486 Active

Practice location

3366 Oakdale Ave N, Suites 103 & 104
Robbinsdale, MN 55422-2948

Fax (763) 520-7889

Mailing address

4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422-4840

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10293 (MN)
Surgical Physician Assistant Primary 363AS0400X10293 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1669679486

Kyle R. Exsted, PAC's National Provider Identifier is 1669679486, issued on Jun 27, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Robbinsdale, MN. The record was last updated on Mar 7, 2023.