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

Kathleen Dynan

Individual provider Nurse Practitioner · NPI 1083475776

Kathleen Dynan is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2023, 3 years ago. Practices with Associated Nephrology Consultants PA, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2024

Practice location Address checks out

1997 Sloan Pl Ste 17
Maplewood, MN 55117-2051
Phone: (651) 772-6251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11189 (MN)

Record details

NPI number1083475776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address1997 Sloan Pl Ste 17, Maplewood, MN 55117-2051

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Associated Nephrology Consultants Pa — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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