Individual
KELLI A SORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
(952) 993-3010
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14924
MN
363A00000X
Physician Assistant
5808
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/23/2021
Last updated
07/23/2024
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