Jason Kelly M.D. Orthopedist in Fargo ND

Jason Kelly M.D. is an orthopedic with a current address of 3000 32nd Ave S  Fargo ND 58103-6132. The NPI is 1669785556, and the license number is 58081 (MN). It was issued on 07/20/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on január 5, 2018.

Jason Kelly M.D. can be reached by phone at 7013648000, by mail at 1901 Connecticut Ave S Sartell MN 56377-2554, or by fax at .

 

Name: Jason Kelly M.D.

Specialization: Orthopedic

Provider Entity Type: Individual

Is Sole Proprietor: Yes

Gender: Male

 

Practice Location Address:

3000 32nd Ave S

Fargo

ND 58103-6132

Telephone Number: 7013648000

Fax Number:

 

Mailing Address:

1901 Connecticut Ave S

Sartell

MN 56377-2554

Telephone Number:

Fax Number:

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

 

NPI Number: 1669785556

Enumeration Date: 07/20/2010

Last Update: január 5, 2018

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

 

Primary Taxonomy Code: 207X00000X

License Number: 58081

License State: MN

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 58081

Code Type: 1

Identifier State: MN

Identifier Issuer: State Board

 

Other Identifiers (if any):