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AMY ELIZABETH KELLY MD NPI 1437135936


NPI Information

NPI: 1437135936
Provider Name: AMY ELIZABETH KELLY, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1655 BEAM AVE
NUMBER 102
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 770-1385
Get Directions

Amy Elizabeth Kelly, MD is an obstetrics gynecology in Maplewood, MN with 25 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Amy Elizabeth Kelly, MD NPI is 1437135936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1655 BEAM AVE
NUMBER 102
MAPLEWOOD, MN
ZIP 55109-163
Phone: (651) 770-1385
Fax: (651) 770-0672

The NPI 1437135936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 7/8/2007.


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
1207V00000XObstetrics & Gynecology46573MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1826SOKEOTHERBCBS
2960981041136OTHERPREFERRED ONE
3HP42083OTHEREMHD
42130657OTHERARAZ
534495100OTHERWISCONSIN MA
6I03749MEDICARE UPIN
70703794OTHERSELECT CARE
80703794OTHERMEDICA PRIMARY
9960981041136OTHERPREICH PROVIDER NUMBER
10960981041136OTHERPEAK PROVIDER NUMBER
110703794OTHERMEDICA CHOICE
12P00199150OTHERRR MEDICARE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.