Individual
KATELYNN R EIKMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
(952) 946-9777
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14252
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14252
MN STATE LICENSE
MN
Enumeration date
10/20/2022
Last updated
02/28/2024
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