Healthcare Provider Details

I. General information

NPI: 1447068887
Provider Name (Legal Business Name): KIANNA HELMIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 WHITE OAK DR
CHASKA MN
55318-2525
US

IV. Provider business mailing address

1457 WHITE OAK DR
CHASKA MN
55318-2525
US

V. Phone/Fax

Practice location:
  • Phone: 952-368-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: