Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI N WILLEMS, PA-C
Active Sole ProprietorKELLI N WILLEMS, PA-C is a Physician Assistant healthcare provider located in WOODBURY, Minnesota. NPI 1720412935 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODBURY, MN
Registration Details
- NPI Number
- 1720412935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2013 (12.999786045558 yrs)
- Last Updated
- Nov 20, 2025
- License
-
11378 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
217 RADIO DRWOODBURY, MN, 551255805Browse MN providers · Browse ZIP 55125
- Phone
- 6517020750
- Fax
- 6516456166
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| TODD JERAMIE HOLTER | PAC | 1396742896 |
| MRS. JODI LYN BAUMGARTNER | PA-C | 1689668303 |
| CHRISTOPHER WILLIAM DUESMAN | PA-C | 1750379103 |
| KENNETH ALLEN MITCHELL | PA-C | 1922096379 |
| MS. EUNICE LEE | PA | 1053301036 |
| DARREL L COTCH | PA | 1164495016 |
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.