Search › Minnesota › 363A00000X
Mackenzie Kusilek, PA-C
NPI 1962976324 · on the registry since 2019
Practice
- Address
- 5715 Memorial Ave N
Oak Park Heights, MN 55082 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- Clinicians at this address
- 17
Additional practice sites
- 921 Greeley St S, Stillwater, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-04
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