Karli Marie Kisch, PA-C
Physician Assistant in Minneapolis, MN. Individual provider (NPI-1).
NPI number1831789916
StatusActive
Last updated in NPPESFeb 18, 2021
Details
- NPI
- 1831789916
- Entity type
- Individual (NPI-1)
- Name
- Ms. Karli Marie Kisch
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2021
- Certification date
- Feb 18, 2021
- Last updated
- Feb 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2450 Riverside AveMinneapolis, MN 55454-1450
Phone 651-470-1023
Mailing address
10889 Alison WayInver Grove Heights, MN 55077-5460
Phone 651-470-1023
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