NPI 1487699179

Kelly B Fandel, MD

Practitioner Pediatrics Physician St Cloud, MN

Practice location

Address: 1900 Centracare Circle Centracare Clinic - Womens & Childrens, St Cloud, MN 56303-5000
Phone: (320) 654-3630

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 40924 (MN)

Other Pediatrics providers in Minnesota →

Registry record

NPI: 1487699179
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2006
Record last updated: 27 Aug 2008

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.