Individual
KAYLA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
942 WESCOTT TRL APT 202, EAGAN, MN 55123-2200
(952) 237-8026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12926
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/04/2019
Last updated
09/29/2020
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