Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY L DZIEDZIC, PA-C
ActiveKELLY L DZIEDZIC, PA-C is a Physician Assistant healthcare provider located in BURNSVILLE, Minnesota. NPI 1568437879 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BURNSVILLE, MN
Registration Details
- NPI Number
- 1568437879
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2006 (20.435324727865 yrs)
- Last Updated
- Jan 2, 2019
- License
-
9792 (MN)
Practice Information
- Address
-
1000 W 140TH ST UNIT 201BURNSVILLE, MN, 553374833Browse MN providers · Browse ZIP 55337
- Phone
- 9528083000
- Fax
- 9528083001
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. SEAN A SMITH | OA | 1861461022 |
| JESSICA J. STANGENES | PA-C, RD, LD | 1740247824 |
| ELIZABETH N BOYUM | PA | 1750320487 |
| ROBYN L KUNKEL | PA-C | 1194767822 |
| AMANDA JO KINGZETT | PA-C | 1164459723 |
| GAIL MARIE MAENKE | OPA-C | 1255353348 |
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.