Individual provider · Type 1 NPI

Kelly Kantack

School Registered Nurse · St. Paul, MN

NPI number 1861348005 Active

Practice location

360 Colborne St
St. Paul, MN 55102-3228

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X1316971 (MN)

School Registered Nurse: Definition to come...

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About NPI 1861348005

Kelly Kantack's National Provider Identifier is 1861348005, issued on Mar 9, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in St. Paul, MN. The record was last updated on Mar 18, 2026.