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KELSEY ANN PROVO
NPI 1902315047
Technician, Other in Waite Park, MN

Active since September 20, 2017
423 GREAT OAK DR, WAITE PARK, MN 56387(320) 281-5305(320) 281-5306 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Ann Provo NPPES

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

KELSEY ANN PROVO (NPI 1902315047) is an individual technician, other provider in Waite Park, Minnesota and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1902315047
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameKELSEY ANN PROVO
Location Address423 GREAT OAK DRWaite Park, MN 56387-2507
Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055 · (218) 287-4338 · Fax (218) 287-5928
Phone(320) 281-5305
Fax(320) 281-5306
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
✔ NPI 1902315047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
423 GREAT OAK DR, Waite Park, MN 56387
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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.

REBECCA NELSON
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
MARY DOMINE
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
ERIN SCHOBORG
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
JENNIFER GERTEN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
BARRY WOLFF
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338
TAYLOR SPREEMAN
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
KLOE PETTIT-SPERLING
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (320) 281-5305
NICOLE HINES
Specialist
423 GREAT OAK DR
WAITE PARK, MN 56387
Stearns County (218) 287-4338

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 Kelsey Provo's NPI number?

The NPI number for Kelsey Provo is 1902315047. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Kelsey Provo located?

Kelsey Provo practices at 423 Great Oak Dr, Waite Park, MN 56387. The listed phone number is (320) 281-5305.

What is Kelsey Provo's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Kelsey Provo was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.