Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PRESTON
Active Sole ProprietorKELLY PRESTON is a Contractor healthcare provider located in ST PAUL, Minnesota. NPI 1093229411 is currently active in the NPPES registry. Verify at CMS.
Contractor · ST PAUL, MN
Registration Details
- NPI Number
- 1093229411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2017 (8.7485865044645 yrs)
- Last Updated
- Nov 21, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 GROTTO STREET NST PAUL, MN, 55104Browse MN providers · Browse ZIP 55104
- Phone
- 6517603236
- Fax
- 6512226025
- Primary Specialty
-
Contractor
171W00000X
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.