DR. CHARLES E KELLY MD
NPI 1730123639
Specialist in Roseville, MN

Q: What is Charles Kelly's NPI number?

The NPI number for Charles Kelly is 1730123639. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Charles Kelly'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 Charles Kelly was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 15, 2006

3050 CENTRE POINTE DRIVE, SUITE 200, ROSEVILLE, MN 55113(651) 631-4242(651) 631-4260 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles E Kelly Md NPPES

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

DR. CHARLES E KELLY MD (NPI 1730123639) is an individual specialist in Roseville, Minnesota, licensed in Minnesota (26263) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1730123639

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. CHARLES E KELLYCredential: MD

Location Address3050 CENTRE POINTE DRIVE, SUITE 200Roseville, MN 55113

Mailing Address3050 Centre Pointe Drive, Suite 200Roseville, MN 55113 · (651) 639-9150 · Fax (651) 639-9153

Phone(651) 631-4242

Fax(651) 631-4260

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateFebruary 11, 2016

✔ NPI 1730123639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · 26263

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 26263 (MN)

3050 CENTRE POINTE DRIVE, Roseville, MN 55113

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Other Identifiers 2

Medicare UPIND81449

Medicaid286577MN

Other Providers at the Same Location NPPES

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

PHYSICIANS NECK AND BACK CLINICS PA

Physical Medicine & Rehabilitation

3050 CENTRE POINTE DRIVE, SUITE 200
ROSEVILLE, MN 55113

Ramsey County (651) 639-9150

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 Charles Kelly's NPI number?

The NPI number for Charles Kelly is 1730123639. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Charles Kelly located?

Charles Kelly practices at 3050 Centre Pointe Drive Suite 200, Roseville, MN 55113. The listed phone number is (651) 631-4242.

What is Charles Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Kelly was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.