NPI 1245223023

Kimberly Rae Kelly, MD

Practitioner Dermatology Physician Fargo, ND

Practice location

Address: 1702 University Dr S, Fargo, ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Mailing address: PO Box 6001, Fargo, ND 58108-6001

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5817 (ND)

Other Dermatology providers in North Dakota →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 33100 (MN)

Registry record

NPI: 1245223023
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2005
Record last updated: 25 Aug 2011

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.