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LORI L KELLY RN, CNP
NPI 1235167503
Nurse Practitioner - Gerontology in Roseville, MN

Active since June 28, 2006
2845 HAMLINE AVE NORTH, ROSEVILLE, MN 55113(651) 631-6100(651) 631-6343 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lori L Kelly Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI L KELLY RN, CNP (NPI 1235167503) is an individual gerontology provider in Roseville, Minnesota, licensed in Minnesota (R1533479) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1235167503
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLORI L KELLYCredential: RN, CNP
Location Address2845 HAMLINE AVE NORTHRoseville, MN 55113
Mailing Address2845 Hamline Ave NorthRoseville, MN 55113 · (651) 631-6100 · Fax (651) 631-6343
Phone(651) 631-6100
Fax(651) 631-6343
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 25, 2012
✔ NPI 1235167503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · R1533479
2845 HAMLINE AVE NORTH, Roseville, MN 55113
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Other Identifiers 2

Medicare UPINQ53462
Medicaid474957000MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY G BULLOCK RN, CNP
Nurse Practitioner (Family)
2845 HAMLINE AVE NORTH
ROSEVILLE, MN 55113
Ramsey County (651) 631-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Kelly's NPI number?

The NPI number for Lori Kelly is 1235167503. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Lori Kelly located?

Lori Kelly practices at 2845 Hamline Ave North, Roseville, MN 55113. The listed phone number is (651) 631-6100.

What is Lori Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Lori Kelly was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.