Dr. Jason A Kallestad
Family Doctor - Hospice and Palliative Medicine
420 Delaware St Se Mmc 381, Dept Of Family Medicine
Minneapolis
, Minnesota 55455-0341
Dr. Jason A Kallestad
Family Doctor - Hospice and Palliative Medicine
420 Delaware St Se Mmc 381, Dept Of Family Medicine
Minneapolis
, Minnesota 55455-0341
(651) 226-3786
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Jason A Kallestad
- 420 Delaware St Se Mmc 381, Dept Of Family Medicine
- Minneapolis, MN
- Zip : 55455-0341
- Phone : (651) 226-3786
Second Address
- Dr. Jason A Kallestad
- 420 Delaware St Se Mmc 381, Dept Of Family Medicine
- Minneapolis, MN
- Zip : 55455-0341
- Phone : (651) 226-3786
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 50871 | MN |
National Provider Identifier
| NPI | 1164681995 |
|---|---|
| Provider Name | Dr. Jason A Kallestad |
| First Address | Minneapolis, MN 55455-0341 |
| Second Address | Minneapolis, MN 55455-0341 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2008 |
| Last Update Date | 07/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.