Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERRY PEDERSEN, PA
ActiveKERRY PEDERSEN, PA is a Physician Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1730587528 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1730587528
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2014 (11.67069282046 yrs)
- Last Updated
- Mar 10, 2021
- License
-
11795 (MN)
Practice Information
- Address
-
3850 PARK NICOLLET BLVDST LOUIS PARK, MN, 554162527Browse MN providers · Browse ZIP 55416
- Phone
- 9529933025
- Fax
- 9529931937
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN S JAKALA | PA | 1356325997 |
| AMY LYNN HUSEBY | PA-C | 1508842105 |
| MARK STANEK | — | 1215914973 |
| COURTNEY L SCOTT | — | 1821075425 |
| MR. JAMES M BAHRKE | PA-C | 1750368262 |
| JENNIFER M METZ | — | 1063499580 |
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.