Individual provider · Type 1 NPI
Charles E. Kelly, MD
Specialist · Roseville, MN
NPI number
1730123639
Active
Practice location
3050 Centre Pointe Drive, Suite 200
Roseville, MN 55113
Fax (651) 631-4260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 26263 (MN) |
| Specialist Primary | 174400000X | 26263 (MN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1730123639
Charles E. Kelly, MD's National Provider Identifier is 1730123639, issued on Jun 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roseville, MN. The record was last updated on Feb 11, 2016.