Brunkow, Kayla Lynn

Brunkow, Kayla Lynn is an sole proprietor health care provider with primary practice located at 2600 Jefferson St , Alexandria MN 56308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brunkow, Kayla Lynn can be contacted via phone (320) 335-2669.

Contact Information

Primary practice address
2600 Jefferson St Alexandria MN 56308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10640 Minnesota

Profile Details

NPI number 1477886364
LBN Legal business name Brunkow, Kayla Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2009
Last updated Jan 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477886364 NPPES
Minnesota Other 1086456 NCCPA CERTIFICATION NUMBER

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