Ankeny, Kelsey Bergstrom

Ankeny, Kelsey Bergstrom is an sole proprietor health care provider with primary practice located at 4050 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ankeny, Kelsey Bergstrom can be contacted via phone (763) 236-6000.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522
Phone: (763) 236-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 58882 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1134480254
LBN Legal business name Ankeny, Kelsey Bergstrom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 9th, 2015 - about 9 years ago

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.

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