KIMBERLY RAE KELLY MD
NPI 1245223023
Dermatology in Fargo, ND

Active since August 26, 2005
1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 364-8906 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Rae Kelly Md NPPES

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

KIMBERLY RAE KELLY MD (NPI 1245223023) is an individual dermatology provider in Fargo, North Dakota, licensed in North Dakota (5817) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1245223023
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKIMBERLY RAE KELLYCredential: MD
Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940
Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300 · Fax (701) 364-8906
Fax(701) 364-8906
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateAugust 25, 2011
NPI 1245223023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in ND · 5817 Licensed in MN · 33100
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1702 UNIVERSITY DR S, Fargo, ND 58103

Other Identifiers 8

Medicaid16323ND
Other511R8KEMN · Blue Shield
Other0300403Medica
OtherHP17495Healthpartners
Other25535ND · Blue Shield
Medicare PINN713486ND
Other772090400MN · Medical Assistance
Medicare UPINB54080

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
1702 UNIVERSITY DR S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
1702 UNIVERSITY DR S
FARGO, ND 58103
Optometrist
1702 UNIVERSITY DR S
FARGO, ND 58103
Internal Medicine
1702 UNIVERSITY DR S
FARGO, ND 58103
Clinical Neuropsychologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Dermatology
1702 UNIVERSITY DR S
FARGO, ND 58103
Speech-Language Pathologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Pharmacist
1702 UNIVERSITY DR S
FARGO, ND 58103

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1245223023. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 1702 University Dr S, Fargo, ND 58103. The listed phone number is (701) 364-3300.

What is Kimberly Kelly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Kimberly Kelly accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kimberly Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Kelly was last updated on August 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.