Kelly B Fandel, M.D.

NPI #1487699179 in St Cloud, Minnesota

Provider Information

NPI Number: 1487699179
Entity Type: Individual
Name: Kelly B Fandel, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 18, 2006
Last Updated: Aug 27, 2008

Practice Location

Address: 1900 CENTRACARE CIRCLE
Address 2: CENTRACARE CLINIC - WOMENS & CHILDRENS
City: St Cloud
State: Minnesota
ZIP Code: 56303-5000
Phone: (320) 654-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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