Kellie Kershisnik, MD
NPI #1629029566 in Lino Lakes, Minnesota
Provider Information
- NPI Number
- 1629029566
- Entity Type
- Individual
- Name
- Kellie Kershisnik, MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- May 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7455 VILLAGE DR
- City
- Lino Lakes
- State
- Minnesota
- ZIP Code
- 55014-1181
- Phone
- (651) 717-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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