Individual provider · Type 1 NPI

Kellie Kershisnik, MD

Family Medicine Physician · Lino Lakes, MN

NPI number 1629029566 Active

Practice location

7455 Village Dr
Lino Lakes, MN 55014-1181

Mailing address

11111 Ironwood Ave N
Stillwater, MN 55082-5068

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X38004 (MN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13 other providers at this address

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About NPI 1629029566

Kellie Kershisnik, MD's National Provider Identifier is 1629029566, issued on May 15, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lino Lakes, MN. The record was last updated on Jul 13, 2026.