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KELLY MCGREGORY PEDIATRICS LLC
NPI 1952889073
Pediatrics in Crystal, MN

Active since July 31, 2018
6000 BASS LAKE RD STE 102, CRYSTAL, MN 55429(815) 975-7555 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2018, Aug 29, 2018, Jul 31, 2018 (3 updates tracked since 2018).

About Kelly Mcgregory Pediatrics Llc NPPES

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

KELLY MCGREGORY PEDIATRICS LLC (NPI 1952889073) is a healthcare organization registered as a pediatrics in Crystal, Minnesota and active in the NPI registry since July 2018. The organization lists Kelly Mcgregory, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1952889073
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKELLY MCGREGORY PEDIATRICS LLC
Location Address6000 BASS LAKE RD STE 102Crystal, MN 55429
Mailing Address6000 Bass Lake Rd Ste 102Crystal, MN 55429-2768 · (763) 334-5151 · Fax (612) 324-7445
Phone(815) 975-7555
Organization SubpartNo
Authorized OfficialKelly McgregoryPediatrician · (763) 334-5151
Enumeration DateJuly 31, 2018
Last NPPES UpdateSeptember 20, 20183 updates tracked since enumeration
✔ NPI 1952889073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6000 BASS LAKE RD STE 102, Crystal, MN 55429
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mcgregory Pediatrics LLC's NPI number?

The NPI number for Kelly Mcgregory Pediatrics LLC is 1952889073. It was assigned to this organization in the NPPES registry on July 31, 2018.

Where is Kelly Mcgregory Pediatrics LLC located?

Kelly Mcgregory Pediatrics LLC is located at 6000 Bass Lake Rd Ste 102, Crystal, MN 55429. The listed phone number is (815) 975-7555.

What is Kelly Mcgregory Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kelly Mcgregory Pediatrics LLC was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.