Individual provider · Type 1 NPI

Mackenzie Lea Kusilek, PA-C

Physician Assistant · Oak Park Heights, MN

NPI number 1962976324 Active

Practice location

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093

Call (651) 439-8807 Map

Fax (651) 439-0232

Mailing address

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

Other practice locations

  • 921 Greeley St S, Stillwater, MN 55082-5935 · (952) 883-7165

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X8208-23 (WI)
Physician Assistant Primary 363A00000X15180 (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…

18 other providers at this address

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About NPI 1962976324

Mackenzie Lea Kusilek, PA-C's National Provider Identifier is 1962976324, issued on Jan 17, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Park Heights, MN. The record was last updated on Aug 4, 2026.