Anderson, Kelly Jo Partello
Anderson, Kelly Jo Partello is an individual health care provider with primary practice located at 640 Jackson St Mail Stop 11503P, St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Kelly Jo Partello can be contacted via phone (651) 254-3456.Contact Information
Primary practice address
640 Jackson St Mail Stop 11503P
St Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-3048
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 408 | Minnesota |
Profile Details
NPI number | 1205898186 |
---|---|
LBN Legal business name | Anderson, Kelly Jo Partello |
Credentials | APRN, CRNA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2006 |
Last updated | Jan 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205898186 | NPPES |
Minnesota | MEDICAID | 140193900 |
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