Individual
DR. EDWARD W KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W 140TH ST, SUITE 201, BURNSVILLE, MN 55337-4480
(952) 898-6300
(952) 898-6035
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40026
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
40026
MN
Other
Enumeration date
05/04/2006
Last updated
08/16/2024
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