Kimberly Dawn Bleasdale, PA-C Valid NPI

Individual provider · Physician Assistant · New Hope, MN

NPI

1790787745

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

10493 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2005-06-02

Last updated

2015-05-18