Kaley Ingenito, PA-C

NPI #1427489772 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1427489772
Entity Type: Individual
Name: Kaley Ingenito, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 11, 2013
Last Updated: Mar 11, 2021

Practice Location

Address: 11850 BLACKFOOT ST NW STE 300
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-2772
Phone: (763) 236-9236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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