Individual
KIM MARIE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 232-4980
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 232-4980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15116
MN
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2022
Last updated
12/03/2024
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