Individual provider · Type 1 NPI

Kelly Michael Taylor, CNP

Family Nurse Practitioner · St. Louis Park, MN

NPI number 1295289064 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Mailing address

525 Portland Ave # MC963
Minneapolis, MN 55415-1533

Other practice locations

  • 800 Medical Center Dr, Fairmont, MN 56031-4575 · (507) 238-8100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP 4805 (MN)
Student in an Organized Health Care Education/Training Program 390200000XR 237119-3 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1295289064

Kelly Michael Taylor, CNP's National Provider Identifier is 1295289064, issued on Aug 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 11, 2024.