Compton, Kirtley Grace

Compton, Kirtley Grace is an individual health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Compton, Kirtley Grace can be contacted via phone (651) 439-8807.

Contact Information

Primary practice address
5803 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3580 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11885 Minnesota

Profile Details

NPI number 1467839209
LBN Legal business name Compton, Kirtley Grace
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Mar 11th, 2021 - about 4 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 1467839209 NPPES
Minnesota MEDICAID 1467839209

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