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

Kiley Buchanan

Individual provider Athletic Trainer · NPI 1457879678

Kiley Buchanan is a Physician Assistant in Bloomington, Minnesota. Qualified in 2024, 2 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 931-8742
Fax: (952) 831-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14050 Fairview Dr, Burnsville, MN 55337-4571 — (952) 993-6500
  • 1280 Eagle Ridge Road, Milford, OH 45150 — (513) 833-5917

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14934 (MN)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457879678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bloomington