Individual provider · Type 1 NPI

Kelly Glynn, CPNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1104550680 Active

Practice location

2530 Chicago Ave
Minneapolis, MN 55404-4289

Call (612) 813-8000 Map

Mailing address

2530 Chicago Ave Ste 550
Minneapolis, MN 55404-4293

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	9300 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104550680

Kelly Glynn, CPNP's National Provider Identifier is 1104550680, issued on Jul 12, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 25, 2025.