KELLY MARIE CONRAD RN NPI 1144736703

NPI Information

NPI: 1144736703
Provider Name: KELLY MARIE CONRAD, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
346 LARPENTEUR AVE W
SAINT PAUL, MN
ZIP 55113
Phone: (651) 645-9887
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Kelly Marie Conrad, RN is a home health registered nurse in Saint Paul, MN. Kelly Marie Conrad, RN NPI is 1144736703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

346 LARPENTEUR AVE W
SAINT PAUL, MN
ZIP 55113-712
Phone: (651) 645-9887
Fax: (651) 645-9884

The enumeration date for this NPI number is 12/19/2017 and was last updated on 12/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	2072654	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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