| Mr Kyle James Osmundson, APRN, CNP | |
| 
					211 S Boundary Ave, Proctor, MN 55810-2306  | |
| (218) 786-8364 | |
| Not Available | 
| Full Name | Mr Kyle James Osmundson | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 211 S Boundary Ave, Proctor, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568172591 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1697742 (Minnesota) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 9809 (Minnesota) | Primary | 
| Entity Name | The Duluth Clinic Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229  | 
| Entity Name | Pine Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272  | 
| Entity Name | Essentia Health Moose Lake | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Kyle James Osmundson, APRN, CNP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364  | Mr Kyle James Osmundson, APRN, CNP 211 S Boundary Ave, Proctor, MN 55810-2306 Ph: (218) 786-8364  | 
Kate Jean Pelant, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-576-0200  | |
Ms. Kellie Christine Margarit, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-786-8364  | |
Jessica Ann Linsten, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-624-4819 Fax: 218-624-7323  | |
Mrs. Laurel Julia Ash, RN, DNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 S Boundary Ave, Proctor, MN 55810 Phone: 218-576-0200  |