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

Taylor Kenealy, PA-C

Individual provider Physician Assistant · NPI 1659142198

Taylor Kenealy, PA-C is a Physician Assistant in Maplewood, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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

1575 Beam Ave
Maplewood, MN 55109-1126
Phone: (651) 232-7348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1925 Woodwinds Dr, Woodbury, MN 55125-4445 — (651) 232-0348

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14803 (MN)

Record details

NPI number1659142198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279

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