Van Dyke, Kelly

Van Dyke, Kelly is an individual health care provider with primary practice located at 2720 Fairview Ave N Ste 100 , Roseville MN 55113-1306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Van Dyke, Kelly can be contacted via phone (651) 241-5290.

Contact Information

Primary practice address
2720 Fairview Ave N Ste 100 Roseville MN 55113-1306
Phone: (651) 241-5290
Fax: (651) 241-5248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2545 Minnesota

Profile Details

NPI number 1811442205
LBN Legal business name Van Dyke, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Jan 13th, 2022 - about 4 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.

Request for update

Popular Providers