# DR KESSIENA AYA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821821059
- **Authorized official:** KESSIENA AYA DO (PRESIDENT)
- **Authorized official phone:** (813) 850-0050

## Contact information

- **Practice address:** 95 S 10TH ST APT 1107TH, MINNEAPOLIS, MN 55403-2431
- **Practice address phone:** (320) 480-0001
- **Practice address fax:** (320) 525-1234
- **Mailing address:** 1873 10TH AVE E APT 218, ALEXANDRIA, MN 56308-2646
- **Mailing address phone:** (320) 480-0001
- **Mailing address fax:** (320) 525-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 12/30/2024