KELLY B FANDEL M.D.
NPI 1487699179
Pediatrics in St Cloud, MN

Active since June 18, 2006
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC - WOMENS & CHILDRENS, ST CLOUD, MN 56303(320) 654-3630 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly B Fandel M.d. NPPES

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

KELLY B FANDEL M.D. (NPI 1487699179) is an individual pediatrics provider in St Cloud, Minnesota, licensed in Minnesota (40924) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1487699179
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY B FANDELCredential: M.D.
Location Address1900 CENTRACARE CIRCLE, CENTRACARE CLINIC - WOMENS & CHILDRENSSt Cloud, MN 56303-5000
Mailing Address1900 Centracare Circle, Centracare Clinic - Womens & ChildrensSt Cloud, MN 56303-5000 · (320) 654-3630
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateAugust 27, 2008
NPI 1487699179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 40924
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1900 CENTRACARE CIRCLE, St Cloud, MN 56303

Other Names 1

Former Name (1)Kelly Flanagan

Other Identifiers 3

Medicare UPINH03758MN
Medicaid372219800MN
Medicare ID-Type Unspecified370001962MN

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.

Pediatrics
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC WOMENS & CHILDRENS
ST CLOUD, MN 56303
Pharmacy (Community/Retail Pharmacy)
1900 CENTRACARE CIRCLE, SUITE 1350
ST CLOUD, MN 56303
Psychologist (Clinical)
1900 CENTRACARE CIRCLE, CENTRACARE HEALTH PLAZA
ST CLOUD, MN 56303
Obstetrics & Gynecology
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Dermatology
1900 CENTRACARE CIRCLE, CENTRACARE CLINIC- HEALTH PLAZA SPECIALTIES
ST CLOUD, MN 56303
Family Medicine
1900 CENTRACARE CIRCLE
ST CLOUD, MN 56303
Speech-Language Pathologist
1900 CENTRACARE CIRCLE
ST. CLOUD, MN 56303
Dentist (Pediatric Dentistry)
1900 CENTRACARE CIRCLE, STE 0350
ST CLOUD, MN 56303

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 Kelly Fandel's NPI number?

The NPI number for Kelly Fandel is 1487699179. It was assigned to this individual provider in the NPPES registry on June 18, 2006. The provider is also known as Kelly Flanagan.

Where is Kelly Fandel located?

Kelly Fandel practices at 1900 Centracare Circle Centracare Clinic - Womens & Childrens, St Cloud, MN 56303. The listed phone number is (320) 654-3630.

What is Kelly Fandel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kelly Fandel accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kelly Fandel 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 Kelly Fandel was last updated on August 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.