Individual provider · Type 1 NPI

Mary Kelly, PA

Physician Assistant · Anoka, MN

NPI number 1912756388 Active

Practice location

2621 Greenhaven Rd
Anoka, MN 55303-5566

Call (952) 967-7075 Map

Mailing address

1011 Hesli Hill Ct
Shoreview, MN 55126-1408

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X16019 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912756388

Mary Kelly, PA's National Provider Identifier is 1912756388, issued on May 16, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Anoka, MN. The record was last updated on Nov 2, 2026.