MEDICARE: KALLI AMBER HESS OSIEMO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	66080	MN

General Provider Information

NPI Number	:	1487009817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALLI AMBER HESS OSIEMO M.D.

Provider Business Mailing Address
First Line	:	2436 CLEVELAND AVE N
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-2727
Country	:	US
Telephone Number	:	651-645-4693
Fax Number	:

Provider Business Practice Location Address
First Line	:	2436 CLEVELAND AVE N
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-2727
Country	:	US
Telephone Number	:	651-645-4693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	12/09/2025

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