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

Keely Dinse, DO

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1811421902

Keely Dinse, DO is a Pathology in St Louis Park, Minnesota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
7
Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
Fax: (952) 932-6090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (952) 967-7977
  • 3158 Buena Vista St, Madison, WI 53704-5810 — (989) 928-7810

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 77339 (MN)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 75110-21 (WI)

Record details

NPI number1811421902
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park