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

Kelly B Fandel, MD

Individual provider Pediatrics Physician · NPI 1487699179

Kelly B Fandel, MD is a Pediatrics Physician in St Cloud, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Centracare Circle Centracare Clinic - Womens & Childrens
St Cloud, MN 56303-5000
Phone: (320) 654-3630
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 40924 (MN)

Record details

NPI number1487699179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESAugust 27, 2008

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