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

Mammarie Kah

Individual provider Adult Health Nurse Practitioner · NPI 1588019228

Mammarie Kah is a Nurse Practitioner in Saint Cloud, Minnesota. Qualified in 2015, 11 years ago. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone: (320) 251-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4497 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4497 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4497 (MN)

Record details

NPI number1588019228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address1200 6th Ave N, St. Cloud, MN 56303

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Saint Cloud