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

Michael Kittok

Individual provider Physician Assistant · NPI 1245876796

Michael Kittok is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2020, 6 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

11475 Robinson Dr NW
Coon Rapids, MN 55433-7432
Phone: (763) 587-9000
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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 13578 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245876796
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 19, 2019
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address11475 Robinson Dr Nw, Coon Rapids, MN 55433-7432

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Coon Rapids