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

Kieran Rettler

Individual provider Physician Assistant · NPI 1083551147

Kieran Rettler is a Physician Assistant in Mound, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3040 Highland Blvd
Mound, MN 55364-8537
Phone: (612) 387-1713
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083551147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address3040 Highland Blvd, Mound, MN 55364-8537

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