Kelly, Amy Marie

Kelly, Amy Marie is an individual health care provider with primary practice located at 2004 Randolph Ave #4112, Saint Paul MN 55105-1750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kelly, Amy Marie can be contacted via phone (651) 690-6714.

Contact Information

Primary practice address
2004 Randolph Ave #4112 Saint Paul MN 55105-1750
Phone: (651) 690-6714
Fax: (651) 690-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 40727 Minnesota

Profile Details

NPI number 1588645121
LBN Legal business name Kelly, Amy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 18 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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