Kelli Michelle Cannata, PA-C

NPI #1912358219 in Fridley, Minnesota

Provider Information

NPI Number: 1912358219
Entity Type: Individual
Name: Kelli Michelle Cannata, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 28, 2016
Last Updated: Oct 7, 2019

Practice Location

Address: 8290 UNIVERSITY AVE NE
Address 2: STE 200
City: Fridley
State: Minnesota
ZIP Code: 55432-1847
Phone: (763) 786-9543

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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