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

Kelly C Greco, PAC

Individual provider Physician Assistant · NPI 1013356922

Kelly C Greco, PAC is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2013, 13 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
13
Licensed in
MN, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3800 Park Nicollet Blvd Dept OF Dermatology
St Louis Park, MN 55416-2527
Phone: (952) 993-3260
Fax: (952) 993-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11710 (MN)
Physician Assistant Taxonomy 363A00000X (WI)

Record details

NPI number1013356922
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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