Kaitlyn J. Prochnow PA - Physician Assistant in Elk River, Minnesota | ProviderWire

Full Name

Kaitlyn Judith Prochnow PA

NPI Number

1619659471

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/02/2023

Specialties

(Taxonomies)

Name

Physician Assistant

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

14575

Contact
Information

Purpose

Mailing

Location

Address

530 3RD ST NW

530 3RD ST NW

City

Elk River

Elk River

State

MN

MN

Postal Code

55330-8863

55330-1445

Country

US

US

Telephone Number

N/A

(763) 587-4688

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

Data last updated by provider on 08/02/2023

Provider Address

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