Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI ANN POLUM, PHYSICIAN ASSISTANT
ActiveKELLI ANN POLUM, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in WINONA, Minnesota. NPI 1184275794 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WINONA, MN
Registration Details
- NPI Number
- 1184275794
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2019 (6.8568389634528 yrs)
- Last Updated
- Jul 21, 2020
- Licenses
-
4850 (WI)13360 (MN)
Practice Information
- Address
-
1122 W HIGHWAY 61WINONA, MN, 559871957Browse MN providers · Browse ZIP 55987
- Phone
- 6087827300
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WINONA, MN
| Name | Credential | NPI |
|---|---|---|
| MISS CINDY LYNN GILE | PA-C | 1811974801 |
| ROOSEVELT SMITH JR. | PAC, ATR | 1003836701 |
| KATY S ANTHONY | PA-C | 1295754463 |
| NEIL H TATOR | PA | 1154439487 |
| DENVER TODD BROWN | PA | 1720374663 |
| STEPHANIE FRISCH LEWIS | PA | 1841671500 |
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.