Kellie Kershisnik, MD Valid NPI

Individual provider · Family Medicine Physician · Lino Lakes, MN

NPI

1629029566

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

38004 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2006-05-15

Last updated

2007-07-08