Roberto, Kelly

Roberto, Kelly is an individual health care provider with primary practice located at 2196 White Bear Ave N , Maplewood MN 55109-2708. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roberto, Kelly can be contacted via phone (651) 704-0322.

Contact Information

Primary practice address
2196 White Bear Ave N Maplewood MN 55109-2708
Phone: (651) 704-0322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7676 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7676 Minnesota

Profile Details

NPI number 1124629464
LBN Legal business name Roberto, Kelly
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2020
Last updated May 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124629464 NPPES
Minnesota Other 7676 CNP

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