NPI 1184275794

Kelli Ann Polum, PHYSICIANASSISTANT

Practitioner Medical Physician Assistant Winona, MN

Practice location

Address: 1122 W Highway 61, Winona, MN 55987-1957
Phone: (608) 782-7300
Mailing address: 1836 South Ave, La Crosse, WI 54601-5429

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 13360 (MN)

Other Physician Assistant providers in Minnesota →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 4850 (WI)

Registry record

NPI: 1184275794
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2019
Record last updated: 21 Jul 2020

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.