Individual
KAYLEEN MARIE MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
886 LINCOLN AVE, SAINT PAUL, MN 55105-3146
(612) 919-2515
Mailing address
886 LINCOLN AVE, SAINT PAUL, MN 55105-3146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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