NPI 1043015852

Madeleine Marie Kennedy

Practitioner Physician Assistant Mankato, MN

Practice location

Address: 1025 Marsh St, Mankato, MN 56001-4752
Phone: (507) 625-4031
Mailing address: PO Box 860912, Minneapolis, MN 55486-0912

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 15414 (MN)

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Registry record

NPI: 1043015852
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2025
Record last updated: 20 Nov 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.