Individual
MS. KELSEY MARIE HENNINGSON-KAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE AREA HEALTH SERVICES/NORTHSIDE MEDICAL CLINI, ORTONVILLE, MN 56278-1252
(320) 839-6157
(320) 839-3851
Mailing address
450 EASTVOLD AVE, ORTONVILLE AREA HEALTH SERVICES/NORTHSIDE MEDICAL CLINI, ORTONVILLE, MN 56278
(320) 839-6157
(320) 839-3851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10580
MN
363AM0700X
Medical Physician Assistant
2260-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093976540
PRIMEWEST HEALTH
MN
01
—
1093976540
DAKOTA CARE
—
05
—
1093976540
—
MN
Enumeration date
06/18/2008
Last updated
08/02/2025
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