NPI 1003678533

Kaitlyn Borneke, PA

Practitioner Physician Assistant Mankato, MN

Practice location

Address: 1400 Madison Ave STE 400a, Mankato, MN 56001-6805
Phone: (507) 389-8538
Mailing address: PO Box 8674, Mankato, MN 56002-8674

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 14784 (MN)

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Registry record

NPI: 1003678533
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2024
Record last updated: 23 Oct 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.