Provider Demographics
NPI:1790883833
Name:GRATTON, KARA LOVE (PA-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LOVE
Last Name:GRATTON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5050
Mailing Address - Fax:651-968-5900
Practice Address - Street 1:2090 WOODWINDS DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2522
Practice Address - Country:US
Practice Address - Phone:651-968-5200
Practice Address - Fax:651-968-5903
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-10-10
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Provider Licenses
StateLicense IDTaxonomies
MN10191363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant