Individual
KELSEY LYNN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5200
Mailing address
3539 KNIGHTSBRIDGE TRL N, LAKE ELMO, MN 55042-5525
(651) 491-3732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13967
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2020
Last updated
03/11/2026
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