Organization
ADULT MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A ANDERSON-UZPEN MD (PRESIDENT)
(651) 644-7775
Entity
Organization
Contact information
Practice address
393 DUNLAP ST N STE 235, SAINT PAUL, MN 55104-4208
(651) 644-7775
(651) 644-8884
Mailing address
393 DUNLAP ST N STE 235, SAINT PAUL, MN 55104-4208
(651) 644-7775
(651) 644-8884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
N153
MN
207R00000X
Internal Medicine Physician
26646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45Q68AN
BCBS
MN
01
—
64544
HEALTHPARTNERS
MN
01
—
CH5440
RR MEDICARE
MN
Enumeration date
04/11/2007
Last updated
09/11/2025
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