Individual
KERRY B ACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6914
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42382
MN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
42382
MN
208000000X
Pediatrics Physician
42382
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
42382
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380457700
—
MN
Enumeration date
11/01/2006
Last updated
07/21/2022
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