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

Kelly Kantack

Individual provider School Registered Nurse · NPI 1861348005

Kelly Kantack is a School Registered Nurse in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

360 Colborne St
Saint Paul, MN 55102-3228
Phone: (651) 744-2290
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 1316971 (MN)

Record details

NPI number1861348005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address360 Colborne St, Saint Paul, MN 55102-3228

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