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

Kathryn J Wallek, PAC

Individual provider Physician Assistant · NPI 1962446955

Kathryn J Wallek, PAC is a Physician Assistant in Stillwater, Minnesota. Graduated from Saint Louis University School of Medicine in 2002, 24 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Trained at
Saint Louis University School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 275-3325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9782 (MN)

Record details

NPI number1962446955
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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