MR. KELLY PAUL JESOK LPN
NPI 1659069730
Licensed Practical Nurse in Minneapolis, MN

Q: What is Kelly Jesok's NPI number?

The NPI number for Kelly Jesok is 1659069730. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Q: What is Kelly Jesok's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Jesok was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 27, 2023

6465 WAYZATA BLVD STE 150, MINNEAPOLIS, MN 55426(763) 546-8899 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Kelly Paul Jesok Lpn NPPES

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

MR. KELLY PAUL JESOK LPN (NPI 1659069730) is an individual licensed practical nurse in Minneapolis, Minnesota, licensed in Minnesota (814568) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1659069730

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. KELLY PAUL JESOKCredential: LPN

Location Address6465 WAYZATA BLVD STE 150Minneapolis, MN 55426-1750

Mailing Address610 265th Ave NeIsanti, MN 55040-5258 · (612) 513-5803

Phone(763) 546-8899

Sole ProprietorNo

Enumeration DateApril 27, 2023

NPPES CertifiedApril 27, 2023

✔ NPI 1659069730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MN · 814568

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6465 WAYZATA BLVD STE 150, Minneapolis, MN 55426

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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 Jesok's NPI number?

The NPI number for Kelly Jesok is 1659069730. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Kelly Jesok located?

Kelly Jesok practices at 6465 Wayzata Blvd Ste 150, Minneapolis, MN 55426. The listed phone number is (763) 546-8899.

What is Kelly Jesok's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jesok was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.