Provider Demographics
NPI:1467425272
Name:KASEMAN, JOANNE (PA-C)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:KASEMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 FRANCE AVE S STE 606
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4552
Mailing Address - Country:US
Mailing Address - Phone:952-777-3899
Mailing Address - Fax:
Practice Address - Street 1:7373 FRANCE AVE S STE 606
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4552
Practice Address - Country:US
Practice Address - Phone:952-777-3899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN15172363A00000X
SD0558363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6825370Medicaid
SD6825370Medicaid