SHANNON MARIE KEHLE PH.D., L.P. NPI 1003000894

Psychologist (Clinical) in Minneapolis, MN

About SHANNON KEHLE

Shannon Kehle is a provider in Minneapolis, MN. The NPI number assigned to this provider is 1003000894. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

NPI	1003000894 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	SHANNON MARIE KEHLE PH.D., L.P.
Provider Location Address	1 VETERANS DR MINNEAPOLIS, MN 55417 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1 VETERANS DR MINNEAPOLIS, MN 55417 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-05-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	08-17-2009 Last update date The date that a record was last updated or changed.

Business Address

SHANNON MARIE KEHLE PH.D., L.P.
1 VETERANS DR
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 467-1564

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Mailing Address

SHANNON MARIE KEHLE PH.D., L.P.
1 VETERANS DR
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 467-1564

Primary Taxonomy

Taxonomy Code	103TC0700X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Psychologist
Type	Behavioral Health & Social Service Providers
Specialization	Clinical
License No.	LP5123
License State	MN

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1023012762	MR. PETER T. MITCHELL M.S.N., R.N., C.N.P. Individual	Nurse Practitioner (Family)	1 VETERANS DR 111H MINNEAPOLIS, MN 55417 (612) 467-2986
1093789182	BRIDGET HEGEMAN PHD., L.P. Individual	Psychologist (Clinical)	1 VETERANS DR 116B MINNEAPOLIS, MN 55417 (612) 467-2074
1134183973	CRAIG WILLIAM JOHNSEN CRNA Individual	Nurse Anesthetist, Certified Registered	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2119
1144278953	DR. KATHY JEAN CHRISTENSEN PH.D. Individual		1 VETERANS DR GRECC (11G) VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-3307
1154383040	MRS. GLORIA DULLINGER-BROWN CRNA Individual	Nurse Anesthetist, Certified Registered	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000
1215986724	DR. JEANETTE IRENE HARRIS PH.D. Individual	Psychologist (Clinical)	1 VETERANS DR MAILSTOP 116B MINNEAPOLIS, MN 55417 (612) 725-2000
1225013881	DR. KEN M KUNISAKI M.D. Individual	Internal Medicine (Pulmonary Disease)	1 VETERANS DR PULMONARY 111N MINNEAPOLIS, MN 55417 (612) 467-4400
1245298421	MR. CHRIS (NONE) STENSETH NP Individual	Nurse Practitioner (Family)	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000
1275599136	CHAITANYA ANAND MD Individual	Internal Medicine	1 VETERANS DR VETERAN AFFAIR MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 725-2000
1295792703	DR. JENNIE LESKELA PH.D. Individual	Psychologist (Clinical)	1 VETERANS DR VAMC, PTSR, 116A6 MINNEAPOLIS, MN 55417 (612) 725-2125
1437134152	DR. BERET ANNE SKROCH PSY.D. Individual	Psychologist (Clinical)	1 VETERANS DR # 116A MINNEAPOLIS, MN 55417 (612) 467-4608
1437137544	BRIAN S FIEDLER MD Individual	Radiology (Diagnostic Radiology)	1 VETERANS DR MAIL CODE 114 VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-2038
1487610028	DR. KYLE PROVINE LEHENBAUER M.D. Individual	Internal Medicine	1 VETERANS DR GENERAL INTERNAL MEDICINE (1110) MINNEAPOLIS, MN 55417 (612) 467-2679
1508844234	DR. MARK A KLEIN MD Individual	Internal Medicine (Hematology & Oncology)	1 VETERANS DR 111E MINNEAPOLIS VETERANS AFFAIRS MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 725-2000
1710984810	LISA HANSON DROGEMULLER RPH, BCPP Individual	Pharmacist (Psychiatric)	1 VETERANS DR VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 660-7137
1760449722	DR. KAREN ANN KATTAR PSYD Individual	Psychologist (Clinical)	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 467-2125
1780655472	MR. JEREMY D NIETZ PA-C Individual	Physician Assistant (Medical)	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2000
1801858253	MR. MARK GARY PENZENSTADLER MS, CRNA Individual	Nurse Anesthetist, Certified Registered	1 VETERANS DR MINNEAPOLIS, MN 55417 (612) 725-2119
1972560555	WENDY L RUBLE OTR L Individual	Occupational Therapist	1 VETERANS DR VA MEDICAL CENTER MINNEAPOLIS, MN 55417 (612) 467-2368
1982662318	DR. JULIA NICHOLE PERRY PHD, LP Individual	Psychologist (Clinical)	1 VETERANS DR (116A) MINNEAPOLIS, MN 55417 (612) 467-1664

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