Individual
KEVIN R EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
Mailing address
3768 BAYBERRY LN, EAGAN, MN 55123-2420
(651) 452-4746
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39480
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029R6ED
BLUE CROSS
MN
05
—
051020300
—
MN
05
—
0527200
—
IA
01
—
1016758
PREFERRED ONE
MN
01
—
10R69ED
BLUE CROSS
MN
01
—
122865
UCARE
MN
01
—
3000088626
RAILROAD MEDICARE MN
MN
01
—
300127014
RAILROAD MEDICARE WI
WI
05
—
32646700
—
WI
01
—
777973
AMERICA'S PPO
MN
01
—
HP26146
HEALTHPARTNERS
MN
Enumeration date
05/24/2006
Last updated
07/03/2025
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