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Individual

ALLISON RENAE KEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSM, PA-C

Contact information

Practice address
6160 SUMMIT DR N STE 450, BROOKLYN CENTER, MN 55430-2121
(763) 503-8560
(763) 503-8563
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14631
MN
363A00000X
Physician Assistant
PA13518
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14631
MN BOARD OF MEDICAL PRACTICE
MN
01
PA13518
TEXAS PHYSICIAN ASSISTANT BOARD
TX
Enumeration date
12/08/2020
Last updated
05/06/2025
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