Individual
HEATHER KILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6350 W 143RD ST STE 102, SAVAGE, MN 55378-2890
(952) 428-1000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9513
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137430300
—
MN
01
—
148L4KI
BLUE CROSS BLUE SHIELD
MN
01
—
6606025
MEDICA CHOICE
MN
01
—
HP46410
HEALTHPARTNERS
MN
Enumeration date
05/17/2006
Last updated
08/30/2022
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