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

Kellie Kershisnik, MD

Individual provider Family Medicine Physician · NPI 1629029566

Kellie Kershisnik, MD is a Family Medicine Physician in Lino Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7455 Village Dr
Lino Lakes, MN 55014-1181
Phone: (651) 717-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38004 (MN)

Record details

NPI number1629029566
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 13, 2026
Mailing address11111 Ironwood Ave N, Stillwater, MN 55082-5068

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