Individual
JESSICA MARIE KAINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2620 EAGAN WOODS DR, EAGAN, MN 55121-1138
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2796-023
WI
363AS0400X
Surgical Physician Assistant
Primary
11715
MN
Other
Enumeration date
09/20/2011
Last updated
11/06/2025
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