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

DR. CHARLES E KELLY, MD

Active

DR. CHARLES E KELLY, MD is a Specialist healthcare provider located in ROSEVILLE, Minnesota. NPI 1730123639 is currently active in the NPPES registry. Verify at CMS.

Specialist · ROSEVILLE, MN

Registration Details

NPI Number
1730123639
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2006 (20.12802396471 yrs)
Last Updated
Feb 11, 2016
Licenses
26263 (MN)
26263 (MN)

Practice Information

Address
3050 CENTRE POINTE DRIVE
SUITE 200
ROSEVILLE, MN, 55113
Browse MN providers · Browse ZIP 55113
Phone
6516314242
Fax
6516314260
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in ROSEVILLE, MN

Name Credential NPI
SUSAN M RICHNER M.D. 1265476444
DR. JOHN H HONEBRINK EDD 1457373771
LYNN MARIE BJORNNES PTA CLT-LANA 1700097409
JUDITH MARIE ELLERBUSCH NP 1801163928
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.