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Kelly Jean Perrault, PA-C
Medical Physician Assistant in St Louis Park, Minnesota
NPI 1437392040

Kelly Jean Perrault is a Medical Physician Assistant based in Bloomington, MN and is specialized in Medical. Kelly Jean Perrault practices in St Louis Park, MN and has the professional credentials of PA-C. The NPI Number for Kelly Jean Perrault is 1437392040 and holds a License No. 1256 (Minnesota).

The current practice location address for Kelly Jean Perrault is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 651-492-3064.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437392040
Provider Name
Kelly Jean Perrault
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Phone Number
651-492-3064
Fax Number
Provider Enumeration Date
04/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
651-492-3064
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
651-492-3064
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1256 (Minnesota)
Definition
Definition to come...
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