Individual
DR. KELSEY FAYE ANGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPAS
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1100
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67200
MN
363A00000X
Physician Assistant
085003576
IL
363A00000X
Physician Assistant
1746-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41989800
—
WI
Enumeration date
08/03/2006
Last updated
03/07/2023
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