Individual
KELLY ANN ASCHENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3158
(952) 442-3188
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3158
(952) 442-3188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71751
MN
207NS0135X
Procedural Dermatology Physician
71751
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NH
Other
Enumeration date
04/20/2018
Last updated
06/05/2025
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