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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE KERSHISNIK, MD

Active

KELLIE KERSHISNIK, MD is a Family Medicine healthcare provider located in LINO LAKES, Minnesota. NPI 1629029566 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LINO LAKES, MN

Registration Details

NPI Number
1629029566
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2006 (20.066721294533 yrs)
Last Updated
Jul 8, 2007
License
38004 (MN)

Practice Information

Address
7455 VILLAGE DR
LINO LAKES, MN, 550141181
Browse MN providers · Browse ZIP 55014
Phone
6517173400
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LINO LAKES, MN

Name Credential NPI
DR. KHANH XONG NGUYEN DO 1841261088
JULIE G ZIMMERMAN MD 1154396786
STEVEN H SLATTEN MD 1215902861
SCOTT MOSES MD 1508817149
LOREN MAX WILKES MD 1619929395
TARA MARIE COLE 1063465458
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.