KELLEY WICHMAN


Address: 710 Commerce Dr, Woodbury, MN 55125-4919
Phone: 3202239893

KELLEY WICHMAN (NPI# 1407390511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407390511
Entity Type Individual
Full Name KELLEY WICHMAN
Credential CSFA
Practice Address 710 Commerce Dr
Woodbury
MN 55125-4919
Practice Telephone 3202239893
Mailing Telephone 3202239893
Enumeration Date 2016-12-08
Last Update Date 2016-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
169459 MN Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 710 COMMERCE DR
City WOODBURY
State MN
Zip Code 55125-4919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518939099 Paul M Bruning Specialist/Technologist 710 Commerce Dr, Suite 200, Woodbury, MN 55125-4919 2006-02-07
1912459116 Erik Collins Specialist/Technologist 710 Commerce Dr, Suite 100, Woodbury, MN 55125-4919 2016-11-04
1659704492 Matthew Edward Frericks Specialist/Technologist 710 Commerce Dr, Woodbury, MN 55125-4919 2013-08-15
1023170958 Sarah Fuerst Counselor 710 Commerce Dr, Suite 215, Woodbury, MN 55125-4919 2006-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268728 Haley Kirkpatrick Behavior Technician 721 Commerce Dr., Woodbury, MN 55125 2020-09-03
1689218091 Jordan Schmidt Student in an Organized Health Care Education/Training Program 1740 Welr Dr. #24, Woodbury, MN 55125 2019-10-30
1629619580 Mackenzie Ann Funke Occupational Therapist 721 Commerce Drivve, Woodbury, MN 55125 2019-10-02
1700342029 Darcy Stivland Counselor 1811 Weir Drive #270, Woodbury, MN 55125 2019-02-11
1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
1528573664 Cory Lee Baumeister Counselor 652 Bielenberg Dr, Woodbury, MN 55125 2017-12-12
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
1518415736 Kubei Holdings Group LLC Case Management 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 2016-09-16
1285087072 Adrian Jung Occupational Therapist 155 Radio Drive, Woodbury, MN 55125 2016-07-18
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639710940 Marissa Malley Specialist/Technologist, Other 408 19th St Nw, Rochester, MN 55901-8126 2019-10-08
1407366537 Robert Ezike Specialist/Technologist, Other 310 98th Ln Nw, Coon Rapids, MN 55433-5613 2017-10-03
1871739524 Lori J. Vonbehren Specialist/Technologist, Other 9552 Yukon Cir S, Bloomington, MN 55438-1645 2008-12-31
1487116547 Augustus Owusu Sarpong Specialist/Technologist, Other 1000 W 140th St Unit 201, Burnsville, MN 55337-4833 2019-04-05
1912420704 William R Turnquist Specialist/Technologist, Other 3580 Arcade St, Vadnais Heights, MN 55127-7135 2017-07-24
1831628478 Monica Marie Mckay Specialist/Technologist, Other 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 2017-06-07
1932635547 Tina Kretsch Specialist/Technologist, Other 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 2017-05-03
1922534536 Cassandra Wittner Specialist/Technologist, Other 17 Exchange St W Ste 622, Saint Paul, MN 55102-1225 2017-05-03
1265779714 Anna M Bennett Specialist/Technologist, Other 14001 Ridgedale Dr, Suite 200, Minnetonka, MN 55305-1753 2013-01-03
1720367766 Angela J Brown Specialist/Technologist, Other 519 S Galbraith St, Blue Earth, MN 56013-2155 2011-08-09
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Competitor

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City WOODBURY
Zip Code 55125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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