Physician Assistant
KAITLIN BUCKNER P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104852094 · enumerated 2006-06-23 · record updated 2025-05-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 6043 HUDSON RD STE 220, WOODBURY, MN, 55125-1033 (651) 925-8200 Fax (651) 925-8201 Google Maps Apple Maps OpenStreetMap
- Mailing address 64 TOUCHSTONE, LAKE OSWEGO, OR, 97035-1909 (702) 994-4332 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 6669778-1206 UT
- Physician Assistant 363A00000X · License 3127 AZ
- Physician Assistant 363A00000X · License 1414 OK
- Physician Assistant 363A00000X · License PA223121 OR
- Physician Assistant 363A00000X · License PADA1230 AK
- Physician Assistant 363A00000X · License PA65471 CA
- Physician Assistant 363A00000X · Primary · License 10495 MN
In this directory
Locations and evidence
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Practice location
WOODBURY, MN, 551251033
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.