Kelly Fider, PA-C
NPI #1598768434 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1598768434
- Entity Type
- Individual
- Name
- Kelly Fider, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 24, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8100 NORTHLAND DR
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55431-4800
- Phone
- (952) 831-8742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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