Mellgren, Kristin K

Mellgren, Kristin K is an individual health care provider with primary practice located at 161 19Th St S Ste 106 , Sartell MN 56377-2555. 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. Mellgren, Kristin K can be contacted via phone (320) 252-3376.

Contact Information

Primary practice address
161 19Th St S Ste 106 Sartell MN 56377-2555
Phone: (320) 252-3376
Fax: (218) 898-7597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9855 Minnesota

Profile Details

NPI number 1316976236
LBN Legal business name Mellgren, Kristin K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Feb 23rd, 2024 - about 10 months 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 1316976236 NPPES
Minnesota MEDICAID 970001852

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