Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly S Petska, PHD

Individual provider Psychologist · NPI 1396945390

Dr. Kelly S Petska, PHD is a Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 467-3039
Fax: (612) 727-5964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1396945390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 19, 2007
Last updated in NPPESJuly 19, 2007

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