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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134480254

Kelsey Bergstrom Ankeny, MD is a Student in an Organized Health Care Education/Training Program in St Louis Park, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 — (763) 236-6000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 58882 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134480254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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