Kelly Van Dyke

NPI 1811442205 · on the registry since 2016

Practice

Address: 2720 Fairview Ave N Ste 100
Roseville, MN 55113
Phone: (651) 241-5290
Fax: (651) 241-5248
Organisation at this address: Tareen Dermatology, P.A.
Minnesota Epilepsy Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota