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

Additional informationCallout TooltipNational 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 Address1 VETERANS DR MINNEAPOLIS, MN 55417 Additional informationCallout TooltipProvider 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 Address1 VETERANS DR MINNEAPOLIS, MN 55417 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity 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 Additional informationCallout TooltipWhat 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 Date09-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-17-2009 Additional informationCallout TooltipLast 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 Code103TC0700X Additional informationCallout TooltipPrimary 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.
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.LP5123
License StateMN

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1023012762MR. 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 Registered1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2119
1144278953DR. KATHY JEAN CHRISTENSEN PH.D.
Individual
1 VETERANS DR GRECC (11G) VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 467-3307
1154383040MRS. GLORIA DULLINGER-BROWN CRNA
Individual
Nurse Anesthetist, Certified Registered1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1215986724DR. JEANETTE IRENE HARRIS PH.D.
Individual
Psychologist (Clinical)1 VETERANS DR MAILSTOP 116B
MINNEAPOLIS, MN 55417
(612) 725-2000
1225013881DR. KEN M KUNISAKI M.D.
Individual
Internal Medicine (Pulmonary Disease)1 VETERANS DR PULMONARY 111N
MINNEAPOLIS, MN 55417
(612) 467-4400
1245298421MR. CHRIS (NONE) STENSETH NP
Individual
Nurse Practitioner (Family)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1275599136 CHAITANYA ANAND MD
Individual
Internal Medicine1 VETERANS DR VETERAN AFFAIR MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 725-2000
1295792703DR. JENNIE LESKELA PH.D.
Individual
Psychologist (Clinical)1 VETERANS DR VAMC, PTSR, 116A6
MINNEAPOLIS, MN 55417
(612) 725-2125
1437134152DR. 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
1487610028DR. KYLE PROVINE LEHENBAUER M.D.
Individual
Internal Medicine1 VETERANS DR GENERAL INTERNAL MEDICINE (1110)
MINNEAPOLIS, MN 55417
(612) 467-2679
1508844234DR. 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
1760449722DR. KAREN ANN KATTAR PSYD
Individual
Psychologist (Clinical)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 467-2125
1780655472MR. JEREMY D NIETZ PA-C
Individual
Physician Assistant (Medical)1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2000
1801858253MR. MARK GARY PENZENSTADLER MS, CRNA
Individual
Nurse Anesthetist, Certified Registered1 VETERANS DR
MINNEAPOLIS, MN 55417
(612) 725-2119
1972560555 WENDY L RUBLE OTR L
Individual
Occupational Therapist1 VETERANS DR VA MEDICAL CENTER
MINNEAPOLIS, MN 55417
(612) 467-2368
1982662318DR. JULIA NICHOLE PERRY PHD, LP
Individual
Psychologist (Clinical)1 VETERANS DR (116A)
MINNEAPOLIS, MN 55417
(612) 467-1664
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