Provider Demographics
NPI:1962742536
Name:MCDONALD, ASHLEY KAY (PA-C)
Entity type:Individual
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First Name:ASHLEY
Middle Name:KAY
Last Name:MCDONALD
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11850 BLACKFOOT ST NW
Mailing Address - Street 2:STE 490
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2773
Mailing Address - Country:US
Mailing Address - Phone:763-520-2940
Mailing Address - Fax:763-520-2943
Practice Address - Street 1:3366 OAKDALE AVE N
Practice Address - Street 2:SUITE 605
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2948
Practice Address - Country:US
Practice Address - Phone:763-520-2940
Practice Address - Fax:763-520-2943
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2016-06-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical