Female

Mrs. Kayla L. Brunkow PA-C

Physician Assistant in Alexandria, MN(View on Map)

Full Name

Mrs. Kayla Lynn Brunkow PA-C

NPI Number

1477886364

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/10/2009

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

10640

Contact
Information

Purpose

Mailing
Location

Address

610 30TH AVE W
610 30TH AVE W

City

Alexandria
Alexandria

State

MN
MN

Postal Code

56308-3426
56308-3426

Country

US
US

Telephone Number

N/A
(320) 335-2669

Identifiers

Identifier

1086456

Identifier State

MN

Identifier Issuer

NCCPA CERTIFICATION NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2024

Provider Address

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