MS. KIM NAN KELLEY OTRL
NPI 1679631899
Specialist in Minnetonka, MN

Q: What is Kim Kelley's NPI number?

The NPI number for Kim Kelley is 1679631899. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Kim Kelley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 04, 2006

3395 PLYMOUTH RD, MINNETONKA, MN 55305(952) 939-0396(952) 548-8760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Kim Nan Kelley Otrl NPPES

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

MS. KIM NAN KELLEY OTRL (NPI 1679631899) is an individual specialist in Minnetonka, Minnesota, licensed in Minnesota (102295) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679631899

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. KIM NAN KELLEYCredential: OTRL

Location Address3395 PLYMOUTH RDMinnetonka, MN 55305-3765

Mailing Address3395 Plymouth RdMinnetonka, MN 55305-3765 · (952) 939-0396 · Fax (952) 548-8760

Phone(952) 939-0396

Fax(952) 548-8760

Sole ProprietorNo

Enumeration DateDecember 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679631899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · 102295

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3395 PLYMOUTH RD, Minnetonka, MN 55305

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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.

ELIZABETH KATHARINE COLLINS LAMFT

Marriage & Family Therapist

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

ANGELA BIERLE EARLY LICSW

Social Worker (Clinical)

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

KATHERINE H SHEARER PT

Physical Therapist

3395 PLYMOUTH RD, ST DAVID'S CENTER
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

MRS. KATY MARIE CLOUTIER MA,CCC,SLP

Speech-Language Pathologist

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

MEGHAN ELIZABETH HOF MA, LPCC

Counselor

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

MS. KRISTIN MARIE VANDERIET OTR

Specialist

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

ELIZABETH MARIE DEACON

Speech-Language Pathologist

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

JOAN CROMWELL

Speech-Language Pathologist

3395 PLYMOUTH RD
MINNETONKA, MN 55305

Hennepin County (952) 939-0396

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 Kim Kelley's NPI number?

The NPI number for Kim Kelley is 1679631899. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Kim Kelley located?

Kim Kelley practices at 3395 Plymouth Rd, Minnetonka, MN 55305. The listed phone number is (952) 939-0396.

What is Kim Kelley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Kim Kelley accept?

Health plans from Medica list Kim Kelley 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 Kim Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.