Search › Minnesota › 207Q00000X
Kelsie Rustad, PA-C
NPI 1386377901 · on the registry since 2022 · sole proprietor
Practice
- Address
- 600 Peterson Pkwy
New London, MN 56273 - Phone
- (320) 444-8287
- Organisation at this address
- Coborns Inc
Centracare Clinic Southwest LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
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