NPI 1003507419

Kelsey Widmyer Israelson, PA

Practitioner Physician Assistant St Louis Park, MN

Practice location

Address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: (952) 883-1000
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 15273 (MN)

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Registry record

NPI: 1003507419
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2023
Record last updated: 2 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.