IndividualActive
Amanda Kohl, P.A.C.
NPI 1114536844 · Pain Medicine Physician · Burnsville, MN
Provider details
- NPI number
- 1114536844
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- P.A.C.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13622 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2428 East 117th St
Burnsville, MN 55337
Phone: (612) 444-3000
Fax: (612) 444-9000
Approximate (ZIP-level) locationGet directions
Mailing address
2428 East 117th St
Burnsville, MN 55337
Registry dates
- Enumerated
- 2020-07-29
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.