1. Home
  2. Directory
  3. Minnesota
  4. Lake City
  5. Pharmacist
  6. NPI Profile

KELLY MARIE KENNEDY
NPI 1689280406
Pharmacist in Lake City, MN

Active since September 17, 2020
500 W GRANT ST, LAKE CITY, MN 55041(651) 345-6715 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2021, Sep 17, 2020 (2 updates tracked since 2020).

About Kelly Marie Kennedy NPPES

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

KELLY MARIE KENNEDY (NPI 1689280406) is an individual pharmacist in Lake City, Minnesota, licensed in Minnesota (116024) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1689280406
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY MARIE KENNEDY
Location Address500 W GRANT STLake City, MN 55041-1143
Mailing Address500 W Grant StLake City, MN 55041-1143 · (651) 345-6715
Phone(651) 345-6715
Sole ProprietorNo
Enumeration DateSeptember 17, 2020
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1689280406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MN · 116024
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
500 W GRANT ST, Lake City, MN 55041
Open in Google Maps ↗

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.

DENNIS CHARLES SPANO M.D.
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DR. RANDY M FOSS MD
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
MR. JACOB R RICKS CRNA
Nurse Anesthetist, Certified Registered
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
BRANDON CHARLES VOTH DPT
Physical Therapist (Orthopedic)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
REBEKAH RICHTER DPT
Physical Therapist
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-1129
KATHERINE LILLIE LOFBERG FNP-C
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
LISA JOLEE WIMMER
Nurse Practitioner (Family)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
Clinic/Center (Multi-Specialty)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321

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 Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1689280406. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Kelly Kennedy located?

Kelly Kennedy practices at 500 W Grant St, Lake City, MN 55041. The listed phone number is (651) 345-6715.

What is Kelly Kennedy's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.