Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY L KO, PA-C
ActiveSTACEY L KO, PA-C is a Physician Assistant healthcare provider located in COTTAGE GROVE, Minnesota. NPI 1821059692 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COTTAGE GROVE, MN
Registration Details
- NPI Number
- 1821059692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2006 (20.330609878491 yrs)
- Last Updated
- Mar 11, 2021
- License
-
9655 (MN)
Practice Information
- Address
-
7500 80TH ST S, SUITE 100 - MS 34624AHEALTHPARTNERS COTTAGE GROVE CLINICCOTTAGE GROVE, MN, 550163008Browse MN providers · Browse ZIP 55016
- Phone
- 6514154100
- Fax
- 6514154101
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COTTAGE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| EKATERINA PETERSON | PA-C | 1982952909 |
| MITCHEL LEERS | PA-C | 1588194021 |
| MITCHELL SCOTT SEBRANEK | PHYSICIAN ASSISTANT | 1003418260 |
| KATHRYN MARY BERGER | — | 1609544717 |
| SAMANTHA ROTH | PA | 1295543262 |
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.