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

Kylie Knutson

Individual provider Physician Assistant · NPI 1083475446

Kylie Knutson is a Physician Assistant in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1717 S University Dr
Fargo, ND 58103-4939
Phone: (701) 280-4640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC1068 (ND)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083475446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fargo