Kelsey Widmyer Israelson, PA

NPI #1003507419 in St Louis Park, Minnesota

Provider Information

NPI Number: 1003507419
Entity Type: Individual
Name: Kelsey Widmyer Israelson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 17, 2023
Last Updated: Jun 2, 2025

Practice Location

Address: 3850 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2527
Phone: (952) 883-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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