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Contact Information

KAILEE A PETROSKY
1165 ARCADE ST
SAINT PAUL, MN55106-2615
 Phone: 651-772-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for KAILEE A PETROSKY · (Female)

NPI Number 1821680554
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2021
Last updated 07/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2469759
  • MN License # 8034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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