Kristy Jordan Lichtenberg, PA
Kristy Jordan Lichtenberg, PA is a Physician Assistant in St Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 9
- Licensed in
- MN
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
225 Smith Ave N Ste 200St Paul, MN 55102-2697
Phone: (651) 241-5111
Fax: (651) 241-5512
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 6565 France Ave S Ste 375, Edina, MN 55435-2141 — (651) 312-1700
- 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 — (763) 267-8701
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12632 (MN) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1134637986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 15, 2018 |
| Last updated in NPPES | December 14, 2023 |
| Certification date | December 14, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Allina Health System — 3867 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Other providers in St Paul
-
Leah C Matheson
640 Jackson Street Mc 11109E, St Paul, MN 55101-2502 · (651) 254-3456
-
Cora L Peine, PA
1026 W 7th St, St Paul, MN 55102-3007 · (651) 241-1000