Individual provider · Type 1 NPI

Allyssa Mae Kittock, PA

Physician Assistant · St. Louis Park, MN

NPI number 1902203045 Active

Practice location

5400 Excelsior Blvd
St. Louis Park, MN 55416-2913

Call (952) 993-1000 Map

Fax (952) 993-1160

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902203045

Allyssa Mae Kittock, PA's National Provider Identifier is 1902203045, issued on Dec 3, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 29, 2022.