Search › Minnesota › 103TC0700X
Thomas Kelly, PSY.D
NPI 1972607562 · on the registry since 2006 · sole proprietor
Practice
- Address
- 108 S Minnesota Ave Ste 102
Saint Peter, MN 56082 - Phone
- (507) 484-2400
- Fax
- (507) 934-5220
- Organisation at this address
- Greater Minnesota Trauma Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 2399 Ariel St N, Maplewood, MN
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YP2500X
101YP2500X
101YP2500X
101YP2500X - Licence states on file
- WI, IA, MN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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