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KELLY DEE VANCLEVE
NPI 1881290120
Nurse Practitioner - Acute Care in Lakeville, MN

Active since December 10, 2020
18255 ICON CT, LAKEVILLE, MN 55044(612) 384-9408 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Dee Vancleve NPPES

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

KELLY DEE VANCLEVE (NPI 1881290120) is an individual acute care provider in Lakeville, Minnesota, licensed in Minnesota (1700477) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1881290120
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY DEE VANCLEVE
Location Address18255 ICON CTLakeville, MN 55044-2276
Mailing Address18255 Icon CtLakeville, MN 55044-2276
Phone(612) 384-9408
Sole ProprietorNo
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1881290120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MN · 1700477
18255 ICON CT, Lakeville, MN 55044
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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 Vancleve's NPI number?

The NPI number for Kelly Vancleve is 1881290120. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Kelly Vancleve located?

Kelly Vancleve practices at 18255 Icon Ct, Lakeville, MN 55044. The listed phone number is (612) 384-9408.

What is Kelly Vancleve's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Kelly Vancleve was last updated on December 10, 2020. 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.