Individual provider · Type 1 NPI
Mikayla Lee Keenan
Medical Physician Assistant · Little Canada, MN
NPI number
1982525275
Active
Practice location
774 Labore Rd
Little Canada, MN 55117-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1982525275
Mikayla Lee Keenan's National Provider Identifier is 1982525275, issued on Jul 22, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Little Canada, MN. The record was last updated on Jul 22, 2026.