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KIERAN RETTLER
NPI 1083551147
Physician Assistant in Mound, MN

Active since April 29, 2026
3040 HIGHLAND BLVD, MOUND, MN 55364(612) 387-1713 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kieran Rettler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERAN RETTLER (NPI 1083551147) is an individual physician assistant in Mound, Minnesota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1083551147
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKIERAN RETTLER
Location Address3040 HIGHLAND BLVDMound, MN 55364-8537
Mailing Address3040 Highland BlvdMound, MN 55364-8537 · (612) 387-1713
Phone(612) 387-1713
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1083551147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3040 HIGHLAND BLVD, Mound, MN 55364
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kieran Rettler's NPI number?

The NPI number for Kieran Rettler is 1083551147. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Kieran Rettler located?

Kieran Rettler practices at 3040 Highland Blvd, Mound, MN 55364. The listed phone number is (612) 387-1713.

What is Kieran Rettler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kieran Rettler was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.