KAY KELLY TRADITIONAL CHINESE MEDICINE, INC.
NPI 1992036883
Clinic/Center in Plymouth, MN

Q: What is Kay Kelly Traditional Chinese Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 17, 2010

12220 45TH AVE N, PLYMOUTH, MN 55442(763) 213-9989 Get Directions Write a Review

NPPES record last updated: January 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kay Kelly Traditional Chinese Medicine, Inc. NPPES

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

KAY KELLY TRADITIONAL CHINESE MEDICINE, INC. (NPI 1992036883) is a healthcare organization registered as a clinic/center in Plymouth, Minnesota and active in the NPI registry since January 2010. The organization lists Kay Devine Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1992036883

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameKAY KELLY TRADITIONAL CHINESE MEDICINE, INC.

Location Address12220 45TH AVE NPlymouth, MN 55442-2443

Mailing Address12220 45th Ave NPlymouth, MN 55442-2443 · (763) 213-9989

Phone(763) 213-9989

Organization SubpartNo

Authorized OfficialKay Devine KellyPresident · (763) 213-9989

Enumeration DateJanuary 17, 2010

✔ NPI 1992036883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MN · 1015

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12220 45TH AVE N, Plymouth, MN 55442

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Other Providers at the Same Location NPPES

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

KAY D. KELLY R.N., L.AC.

Acupuncturist

12220 45TH AVE N
PLYMOUTH, MN 55442

Hennepin County (763) 213-9989

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 Kay Kelly Traditional Chinese Medicine, Inc.'s NPI number?

The NPI number for Kay Kelly Traditional Chinese Medicine, Inc. is 1992036883. It was assigned to this organization in the NPPES registry on January 17, 2010.

Where is Kay Kelly Traditional Chinese Medicine, Inc. located?

Kay Kelly Traditional Chinese Medicine, Inc. is located at 12220 45th Ave N, Plymouth, MN 55442. The listed phone number is (763) 213-9989.

What is Kay Kelly Traditional Chinese Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kay Kelly Traditional Chinese Medicine, Inc. was last updated on January 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.