Individual
KYLIE ROSE FALTEISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2021
Last updated
04/26/2022
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