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Individual
AMY ELIZABETH KELLY
Active
Individual
AMY ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46573
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703794
MEDICA CHOICE
—
01
—
2130657
ARAZ
—
01
—
34495100
WISCONSIN MA
—
01
—
826SOKE
BCBS
—
01
—
960981041136
PREICH PROVIDER NUMBER
—
01
—
HP42083
EMHD
—
01
—
P00199150
RR MEDICARE
—
Enumeration date
12/16/2005
Last updated
07/13/2026
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