Individual
JEFFREY OWEN KASBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5888
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9692
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110266
MEDICA
MN
01
—
1030604
PREFERRED ONE
MN
01
—
141816
UCARE MN
MN
01
—
1639459
AMERICA'S PPO
MN
01
—
64G07KA
BCBS OF MN
MN
01
—
6605100
MEDICA URGENT CARE
MN
01
—
HP35076
HEALTHPARTNERS
MN
Enumeration date
09/01/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us