Individual
JENNA THERESE KALLEMEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 CENTER CREEK DR, FAIRMONT, MN 56031-3428
(320) 224-5761
Mailing address
1950 CENTER CREEK DR, FAIRMONT, MN 56031-3428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15136
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
09/19/2025
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