Individual provider · Type 1 NPI

Kelly C. Greco, PAC

Physician Assistant · St. Louis Park, MN

NPI number 1013356922 Active

Practice location

3800 Park Nicollet Blvd, Department Of Dermatology
St. Louis Park, MN 55416-2527

Call (952) 993-3260 Map

Fax (952) 993-0333

Mailing address

500 Osborne Rd NE Dept Of
Fridley, MN 55432-2765

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X11710 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013356922

Kelly C. Greco, PAC's National Provider Identifier is 1013356922, issued on Jun 25, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 15, 2021.