Organization
ST. PAUL SURGEONS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H KELLY M.D. (PARTNER)
(651) 227-6351
Entity
Organization
Contact information
Practice address
1655 BEAM AVE, STE 302, MAPLEWOOD, MN 55109-1163
(651) 227-6351
(651) 227-1134
Mailing address
1655 BEAM AVE, STE 302, MAPLEWOOD, MN 55109-1163
(651) 227-6351
(651) 227-1134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53
MN
Other
Enumeration date
04/19/2006
Last updated
10/31/2012
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