Provider Demographics
NPI:1831308998
Name:ENGEL, KACIA L (MD)
Entity Type:Individual
Prefix:
First Name:KACIA
Middle Name:L
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7301 OHMS LANE
Mailing Address - Street 2:SUITE 650
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-4000
Mailing Address - Country:US
Mailing Address - Phone:952-835-9880
Mailing Address - Fax:952-857-1554
Practice Address - Street 1:7301 OHMS LANE
Practice Address - Street 2:SUITE 650
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-4000
Practice Address - Country:US
Practice Address - Phone:952-835-9880
Practice Address - Fax:952-857-1554
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-07-29
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Provider Licenses
StateLicense IDTaxonomies
MN50635207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services