Fider, Kelly

Fider, Kelly is an individual health care provider with primary practice located at 8100 Northland Dr , Minneapolis MN 55431-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fider, Kelly can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
8100 Northland Dr Minneapolis MN 55431-4800
Fax: (952) 831-1626
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9594 Minnesota

Profile Details

NPI number 1598768434
LBN Legal business name Fider, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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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