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

Individual provider Physician Assistant · NPI 1134769458

Kimberly C Stoll, PA-C is a Physician Assistant in Minneapolis, Minnesota. Works from 2 locations. Licensed in Massachusetts and Minnesota.

Licensed in
MA, MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Boston Medical Center Place, Boston, MA 02118-2908 — (617) 414-5481

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15318 (MN)
Physician Assistant Taxonomy 363A00000X · Licence PA8921 (MA)

Record details

NPI number1134769458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

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