Kelly, Anne M

Kelly, Anne M is an individual health care provider with primary practice located at 516 Delaware Street Pwb Fourth Floor, Room 4-100, Minneapolis MN 55455. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kelly, Anne M can be contacted via phone (612) 672-7122.

Contact Information

Primary practice address
516 Delaware Street Pwb Fourth Floor, Room 4-100 Minneapolis MN 55455
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 33787 Minnesota

Profile Details

NPI number 1922197854
LBN Legal business name Kelly, Anne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922197854 NPPES
Minnesota Other 1274813 MEDICA-PRIMARY
Minnesota Other 768191 MEDICA-PRIMARY
Minnesota Other 1000079 MEDICA-PRIMARY
Minnesota Other HP21986 MEDICA-PRIMARY
Minnesota Other 1224912 MEDICA-PRIMARY
Minnesota Other 053876 MEDICA-PRIMARY
Minnesota MEDICAID 0908632 MEDICA-PRIMARY
Minnesota Other 100911 MEDICA-PRIMARY
Minnesota Other 7T749KE MEDICA-PRIMARY

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