Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLIN BUCKNER, P.A.
ActiveKAITLIN BUCKNER, P.A. is a Physician Assistant healthcare provider located in WOODBURY, Minnesota. NPI 1104852094 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODBURY, MN
Registration Details
- NPI Number
- 1104852094
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (20.117599399108 yrs)
- Last Updated
- May 18, 2025
- Licenses
-
6669778-1206 (UT)3127 (AZ)1414 (OK)PA223121 (OR)PADA1230 (AK)
Practice Information
- Address
-
6043 HUDSON RD STE 220WOODBURY, MN, 551251033Browse MN providers · Browse ZIP 55125
- Phone
- 6519258200
- Fax
- 6519258201
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| TODD JERAMIE HOLTER | PAC | 1396742896 |
| MRS. JODI LYN BAUMGARTNER | PA-C | 1689668303 |
| CHRISTOPHER WILLIAM DUESMAN | PA-C | 1750379103 |
| KENNETH ALLEN MITCHELL | PA-C | 1922096379 |
| MS. EUNICE LEE | PA | 1053301036 |
| DARREL L COTCH | PA | 1164495016 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.