OrganizationActive
Adult Medicine PA
NPI 1740403393 · Registered Dietitian · Saint Paul, MN
Provider details
- NPI number
- 1740403393
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Anderson-Uzpen, President(651) 644-7775
- License
- 26646 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
Practice location
393 Dunlap St N Ste 235
Saint Paul, MN 55104-4208
Phone: (651) 644-7775
Fax: (651) 644-8884
Approximate (ZIP-level) locationGet directions
Mailing address
393 Dunlap St N Ste 235
Saint Paul, MN 55104-4208
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.