Whalio Doctors

NPI 1043554868

Kimberly Jo Sedbrook, PAC

Practitioner Physician Assistant Plymouth, MN

Practice location

Address
2 Carlson Pkwy N STE 100, Plymouth, MN 55447-4467
Phone
(952) 473-1286
Fax
(952) 473-7281
Mailing address
2 Carlson Pkwy N STE 240, Plymouth, MN 55447-4485

Registered specialties (4)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11222 (MN)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 11222 (MN)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3284-23 (WI)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA.0004420 (CO)

Registry record

NPI
1043554868
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Nov 2012
Record last updated
1 Mar 2024

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.