Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Michael Kirby, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1619608767

Christopher Michael Kirby, PHYSICIANASSISTANT is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Avera McKennan, a 962-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
4
Licensed in
MN, WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3270 W Lake St
Minneapolis, MN 55416-4512
Phone: (612) 775-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1025 Marsh St, Mankato, MN 56001-4752 — (507) 625-4031
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 1708 Stanbridge Ave, Roseville, MN 55113-1433 — (651) 494-8170
  • 1221 Whipple Street, Eau Claire, WI 54703-5200 — (715) 838-5222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14176 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 23293 (WI)

Record details

NPI number1619608767
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Minneapolis