MICHAEL W KELLY MD
NPI 1598738197
Family Medicine in St. Louis Park, MN

Active since February 13, 2006
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 55416(952) 541-2500(952) 595-6455 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael W Kelly Md NPPES

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

MICHAEL W KELLY MD (NPI 1598738197) is an individual family medicine provider in St. Louis Park, Minnesota, licensed in Minnesota (26970) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1598738197
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL W KELLYCredential: MD
Location Address5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINICSt. Louis Park, MN 55416-1582
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516 · (952) 883-5375 · Fax (952) 595-6455
Fax(952) 595-6455
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateDecember 12, 2011
NPI 1598738197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 26970
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, St. Louis Park, MN 55416

Other Identifiers 3

Medicaid400582100MN
Medicare UPIND98164
Medicare ID-Type Unspecified080006755MN

Other Providers at the Same Location NPPES 2

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

Family Medicine
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1598738197. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Michael Kelly located?

Michael Kelly practices at 5100 Gamble Dr Suite 100 - Mail Stop 31200A Healthpartners West Clinic, St. Louis Park, MN 55416. The listed phone number is (952) 541-2500.

What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on December 12, 2011. 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.