DR. Charles E Kelly, MD

NPI #1730123639 in Roseville, Minnesota

Provider Information

NPI Number: 1730123639
Entity Type: Individual
Name: DR. Charles E Kelly, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Feb 11, 2016

Practice Location

Address: 3050 CENTRE POINTE DRIVE
Address 2: SUITE 200
City: Roseville
State: Minnesota
ZIP Code: 55113
Phone: (651) 631-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Specialist	174400000X	Primary

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