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

Kelly Landeen, MD

Individual provider Otolaryngology Physician · NPI 1902394406

Kelly Landeen, MD is an Otolaryngology in Woodbury, Minnesota. Graduated from Sanford School of Medicine of University of South Dakota in 2018, 8 years ago. Practices with Otolaryngology and Head and Neck Surgery PA, a 38-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

217 Radio Dr
Woodbury, MN 55125-5805
Phone: (651) 702-0750
Fax: (651) 645-6166
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 3460 Promenade Ave, Eagan, MN 55123-4404 — (651) 702-0750
  • 11020 161st St W, Lakeville, MN 55044-6507 — (651) 702-0750
  • 3590 Arcade St, Vadnais Heights, MN 55127-7135 — (651) 702-0750
  • 2651 Hillcrest Dr Ste 302, Hudson, WI 54016-9919 — (651) 702-0750

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 78338 (MN)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 84952 (WI)

Record details

NPI number1902394406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2018 (8 years in practice)
Group practice Otolaryngology And Head And Neck Surgery Pa — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Woodbury