Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kay Kelly Traditional Chinese Medicine, Inc

Organization Clinic/Center · NPI 1992036883

Kay Kelly Traditional Chinese Medicine, Inc is a Clinic/Center in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12220 45th Ave N
Plymouth, MN 55442-2443
Phone: (763) 213-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 1015 (MN)

Record details

NPI number1992036883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kay Kelly — President · (763) 213-9989
NPI enumeratedJanuary 17, 2010
Last updated in NPPESJanuary 17, 2010
Mailing address12220 45th Ave N, Plymouth, MN 55442-2443

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