Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY B FANDEL, M.D.
ActiveKELLY B FANDEL, M.D. is a Pediatrics healthcare provider located in ST CLOUD, Minnesota. NPI 1487699179 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ST CLOUD, MN
Registration Details
- NPI Number
- 1487699179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2006 (20.120740137861 yrs)
- Last Updated
- Aug 27, 2008
- License
-
40924 (MN)
Practice Information
- Address
-
1900 CENTRACARE CIRCLECENTRACARE CLINIC - WOMENS & CHILDRENSST CLOUD, MN, 563035000Browse MN providers · Browse ZIP 56303
- Phone
- 3206543630
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ST CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| JENNIFER J ROGAN | MD | 1003815051 |
| CINDA JENSEN MELLOY | MD | 1780675843 |
| MARILYN J PEITSO | MD | 1548251408 |
| SYLVIA R SUNDBERG | MD PHD | 1558352401 |
| JANELLE L JOHNSON | MD | 1902897853 |
| DR. GERI NEWMAN JACOBSON | MD | 1558320044 |
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.