NPI 1013356922

Kelly C Greco, PAC

Practitioner Physician Assistant St Louis Park, MN

Practice location

Address: 3800 Park Nicollet Blvd Department of Dermatology, St Louis Park, MN 55416-2527
Phone: (952) 993-3260
Fax: (952) 993-0333
Mailing address: 500 Osborne Rd NE Dept of, Fridley, MN 55432-2765

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11710 (MN)

Other Physician Assistant providers in Minnesota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1013356922
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2013
Record last updated: 15 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.