Individual
DR. EMILY NELSON KEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 UNIVERSITY AVE W STE 120, SAINT PAUL, MN 55114-1844
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
32480
SC
2080P0206X
Pediatric Gastroenterology Physician
Primary
61298
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
01/30/2007
Last updated
12/08/2016
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