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MARY KELLY PA
NPI 1912756388
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 16, 2024
650 PORTLAND AVE APT 832, MINNEAPOLIS, MN 55415(828) 399-0944 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kelly Pa NPPES

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

MARY KELLY PA (NPI 1912756388) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1912756388
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY KELLYCredential: PA
Location Address650 PORTLAND AVE APT 832Minneapolis, MN 55415-4412
Mailing Address650 Portland Ave Apt 832Minneapolis, MN 55415-4412 · (828) 399-0944
Phone(828) 399-0944
Sole ProprietorYes
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1912756388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

650 PORTLAND AVE APT 832, Minneapolis, MN 55415
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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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1912756388. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Mary Kelly located?

Mary Kelly practices at 650 Portland Ave Apt 832, Minneapolis, MN 55415. The listed phone number is (828) 399-0944.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.