Provider Demographics
NPI:1013306984
Name:OIEN, KIRA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:ELIZABETH
Last Name:OIEN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9420 FALLGOLD PKWY N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1531
Mailing Address - Country:US
Mailing Address - Phone:507-832-9087
Mailing Address - Fax:
Practice Address - Street 1:2401 FAIRVIEW AVE N # 145
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-2708
Practice Address - Country:US
Practice Address - Phone:763-225-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2024-01-10
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Provider Licenses
StateLicense IDTaxonomies
MN11801363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant