Kendra Petersen
Kendra Petersen is a Physician Assistant in Minneapolis, Minnesota. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2211 Riverside Avenue South Campus Box 149Minneapolis, MN 55454
Phone: (612) 330-1399
Fax: (612) 330-1757
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1417840166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2025 |
| Last updated in NPPES | June 2, 2025 |
| Certification date | June 1, 2025 |
| Mailing address | 2211 Riverside Avenue South, Campus Box 149, Minneapolis, MN 55454 |
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