Kelly B Fandel
M.D. | Pediatrics | Female
Kelly B Fandel, M.D. is a St Cloud, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics. Kelly B Fandel is also known as
Kelly Flanagan.
Current practice location of Kelly B Fandel is
1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, Minnesota - 56303-5000. She can be contacted on phone at
320-654-3630.
Kelly B Fandel is a sole proprietor of her business.
NPI number (Unique professional ID) for Kelly B Fandel is
1487699179 which was assigned by NPPES on 18 Jun, 2006 and it was last updated on 27 Aug, 2008.
Kelly B Fandel license number is
40924 for Pediatrics (208000000X) in Minnesota.
Kelly B Fandel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kelly B Fandel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kelly B Fandel |
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| Other Name : | Kelly Flanagan |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Kelly B Fandel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1900 Centracare Circle, Centracare Clinic - Womens & Childrens
St Cloud, MN, 56303-5000
United States |
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| Phone Number : | 320-654-3630 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487699179 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jun, 2006 |
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| Last Updated On : | 27 Aug, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly B Fandel are as mentioned. Primary taxonomy code for Kelly B Fandel, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 40924 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Kelly B Fandel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 372219800 | MEDICAID | MN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1900 Centracare Circle, Centracare Clinic - Womens & Childrens
St Cloud, MN, 56303-5000
United States |
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| Phone Number : | 320-654-3630 |
|---|
Business Location:
Patients can refer following map for directions to
Kelly B Fandel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.