Individual
KAITLYN BORNEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 MADISON AVE STE 400A, MANKATO, MN 56001-6805
(507) 389-8538
Mailing address
PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
(507) 625-4643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14784
MN
Other
Enumeration date
01/29/2024
Last updated
10/23/2025
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