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NPI Code Detail

MEDICARE: JOANNE KASEMAN PA-C

MEDICARE: JOANNE KASEMAN 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 Assistant0558SD
2363A00000XPhysician Assistant15172MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467425272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE KASEMAN PA-C
Provider Business Mailing Address
First Line : 710 COMMERCE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3580 ARCADE ST
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55127-7135
Country : US
Telephone Number : 651-968-5201
Fax Number : 651-968-5903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 08/29/2025

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Directions to “ JOANNE KASEMAN PA-C” Practice Location

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