Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY C GRECO, PAC
ActiveKELLY C GRECO, PAC is a Physician Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1013356922 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1013356922
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2013 (13.108867293293 yrs)
- Last Updated
- Mar 15, 2021
- License
-
11710 (MN)
Practice Information
- Address
-
3800 PARK NICOLLET BLVDDEPARTMENT OF DERMATOLOGYST LOUIS PARK, MN, 554162527Browse MN providers · Browse ZIP 55416
- Phone
- 9529933260
- Fax
- 9529930333
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN S JAKALA | PA | 1356325997 |
| AMY LYNN HUSEBY | PA-C | 1508842105 |
| MARK STANEK | — | 1215914973 |
| COURTNEY L SCOTT | — | 1821075425 |
| MR. JAMES M BAHRKE | PA-C | 1750368262 |
| JENNIFER M METZ | — | 1063499580 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.