Individual
KARA S MONTMINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4181 108TH AVE NE, BLAINE, MN 55449
(763) 581-2273
Mailing address
PO BOX 7724, WESLEY CHAPEL, FL 33545-0113
(813) 425-5826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10700
MN
363AM0700X
Medical Physician Assistant
PA 9104763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10700
LICENSE
MN
01
—
PA 9104763
FL STATE LICENSE
FL
Enumeration date
12/03/2008
Last updated
05/11/2023
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