Provider Demographics
NPI:1932117017
Name:PRESCOTT, KARI (DPM PA)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:DPM PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:SUITE 441
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2611
Mailing Address - Country:US
Mailing Address - Phone:612-338-4731
Mailing Address - Fax:612-338-4731
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 441
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2611
Practice Address - Country:US
Practice Address - Phone:612-338-4731
Practice Address - Fax:612-338-4731
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN683213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU92777Medicare UPIN
MN4811940001Medicare NSC