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KELLEY WICHMAN CSFA
NPI 1407390511
Specialist/Technologist, Other - Surgical Assistant in Woodbury, MN

Active since December 08, 2016
710 COMMERCE DR, WOODBURY, MN 55125(320) 223-9893 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Wichman Csfa NPPES

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

KELLEY WICHMAN CSFA (NPI 1407390511) is an individual surgical assistant in Woodbury, Minnesota, licensed in Minnesota (169459) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1407390511
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameKELLEY WICHMANCredential: CSFA
Location Address710 COMMERCE DRWoodbury, MN 55125-4919
Mailing Address710 Commerce DrWoodbury, MN 55125-4919 · (320) 223-9893
Phone(320) 223-9893
Sole ProprietorNo
Enumeration DateDecember 8, 2016
✔ NPI 1407390511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in MN · 169459
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
710 COMMERCE DR, Woodbury, MN 55125
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Other Providers at the Same Location NPPES 4

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

MRS. SARAH FUERST M.A., LP
Psychologist (Counseling)
710 COMMERCE DR, SUITE 215
WOODBURY, MN 55125
Washington County (651) 592-1759
DR. PAUL M BRUNING DHA ATC
Specialist/Technologist (Athletic Trainer)
710 COMMERCE DR, SUITE 200
WOODBURY, MN 55125
Washington County (651) 968-5986
MR. MATTHEW EDWARD FRERICKS ATC, OTC
Specialist/Technologist (Athletic Trainer)
710 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 968-5000
ERIK COLLINS ATC, ATR
Specialist/Technologist (Athletic Trainer)
710 COMMERCE DR, SUITE 100
WOODBURY, MN 55125
Washington County (651) 968-5195

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 Kelley Wichman's NPI number?

The NPI number for Kelley Wichman is 1407390511. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Kelley Wichman located?

Kelley Wichman practices at 710 Commerce Dr, Woodbury, MN 55125. The listed phone number is (320) 223-9893.

What is Kelley Wichman's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Kelley Wichman was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.