Kershisnik, Kellie
Kershisnik, Kellie is an individual health care provider with primary practice located at 7455 Village Dr , Lino Lakes MN 55014-1181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kershisnik, Kellie can be contacted via phone (651) 717-3400.Contact Information
Primary practice address
7455 Village Dr
Lino Lakes MN 55014-1181
Phone: (651) 717-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38004 | Minnesota |
Profile Details
| NPI number | 1629029566 |
|---|---|
| LBN Legal business name | Kershisnik, Kellie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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