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NPI Code Detail

MEDICARE: KATELYN ELHARD PA-C

MEDICARE: KATELYN ELHARD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant14041MN

General Provider Information

NPI Number : 1215684550
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN ELHARD PA-C
Provider Business Mailing Address
First Line : 1321 HILLSBORO AVE N
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55427-3759
Country : US
Telephone Number : 952-200-4737
Fax Number :
Provider Business Practice Location Address
First Line : 1415 LILAC DR N STE 190
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55422-4544
Country : US
Telephone Number : 762-267-8701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2022
Last Update Date : 03/26/2026

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Directions to “ KATELYN ELHARD PA-C” Practice Location

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