Individual
KARIE M SOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9071
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111328
MEDICA
MN
01
—
116632
UCARE
MN
05
—
496223100
—
MN
01
—
73A66SO
BCBS
MN
01
—
938167
MEDICAID
IA
01
—
970005981
RR MEDICARE
—
01
—
HP41129
HEALTH PARTNERS
MN
01
—
NA2951015184
PREFFERED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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