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Search › Minnesota › 363A00000X

Kailey Immen, PA-C

NPI 1023739141 · on the registry since 2022

Practice

Address
500 Harvard St Se
Minneapolis, MN 55455
Phone
(507) 380-6474
Organisation at this address
Fairview Health Servcies
Fairview Pharmacy Services Llc
Fairview Pharmacy Services Llc
Fairview Pharmacy Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
252

Additional practice sites

  • 1620 W Harrison St, Chicago, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota