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

Kelly Marie Kennedy

Individual provider Pharmacist · NPI 1689280406

Kelly Marie Kennedy is a Pharmacist in Lake City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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Practice location Address checks out

500 W Grant St
Lake City, MN 55041-1143
Phone: (651) 345-6715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 116024 (MN)

Record details

NPI number1689280406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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