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

Kelly Vanvickle

Individual provider Women's Health Nurse Practitioner · NPI 1013332105

Kelly Vanvickle is a Women's Health Nurse Practitioner in Staples, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence R147459-6 (MN)

Record details

NPI number1013332105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2014
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing addressPo Box 65, Crosslake, MN 56442-0065

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