Mike, Debra Kay

Mike, Debra Kay is an sole proprietor health care provider with primary practice located at 3400 W 66Th Street Suite 290, Edina MN 55435. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Mike, Debra Kay can be contacted via phone (952) 914-1727.

Contact Information

Primary practice address
3400 W 66Th Street Suite 290 Edina MN 55435
Phone: (952) 914-1727
Fax: (952) 914-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 149363-21 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 146979-23 Maryland

Profile Details

NPI number 1740269927
LBN Legal business name Mike, Debra Kay
Credentials RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2006
Last updated Aug 11th, 2011 - about 14 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 1740269927 NPPES
Minnesota MEDICAID 0373257-00

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