Individual provider · Type 1 NPI

Kelly L. Gans, PA-C

Medical Physician Assistant · Robbinsdale, MN

NPI number 1366056889 Active

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X13418 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1366056889

Kelly L. Gans, PA-C's National Provider Identifier is 1366056889, issued on Sep 2, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Robbinsdale, MN. The record was last updated on Jul 7, 2026.