Fandel, Kelly B

Fandel, Kelly B is an individual health care provider with primary practice located at 1900 Centracare Circle Centracare Clinic - Womens & Childrens, St Cloud MN 56303-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fandel, Kelly B can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Circle Centracare Clinic - Womens & Childrens St Cloud MN 56303-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40924 Minnesota

Profile Details

NPI number 1487699179
LBN Legal business name Fandel, Kelly B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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All States NPI 1487699179 NPPES
Minnesota MEDICAID 372219800

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