Individual provider · Type 1 NPI

Melissa Ann Waterman-Keinath, PA-C

Physician Assistant · Edina, MN

NPI number 1902871759 Active

Practice location

6525 Barrie Rd
Edina, MN 55435-2305

Call (952) 915-6000 Map

Fax (952) 915-6100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9373 (MN)

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 1902871759

Melissa Ann Waterman-Keinath, PA-C's National Provider Identifier is 1902871759, issued on Feb 22, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edina, MN. The record was last updated on Jul 13, 2026.