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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912756388

Mary Kelly, PA is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

650 Portland Ave Apt 832
Minneapolis, MN 55415-4412
Phone: (828) 399-0944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912756388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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