MEDICARE: KELLY A HOOD PAC

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	363AM0700X	Medical Physician Assistant	12609	MN
2	363A00000X	Physician Assistant	12609	MN

General Provider Information

NPI Number	:	1033619853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY A HOOD PAC

Provider Business Mailing Address
First Line	:	701 PARK AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1623
Country	:	US
Telephone Number	:	612-873-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 HIGHWAY 88
Second Line	:
City	:	ST ANTHONY
State	:	MN
Zip	:	55418-3266
Country	:	US
Telephone Number	:	612-873-6963
Fax Number	:

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

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	11/01/2023

Similar Medicare Providers

1144314543 — SNYDERS DRUG
Practice Location Address:

2714 HIGHWAY 88
ST ANTHONY, MN
55418-3266

Practice Phone: 612-781-4800
Practice Fax: 612-788-1337

1174645220 — SANDRA GERMAIN MALONE
Practice Location Address:

2714 HIGHWAY 88
SAINT ANTHONY, MN
55418-3266

Practice Phone: 612-873-6963
Practice Fax:

1225292964 — ROXANEE E PIERRE MD
Practice Location Address:

2714 HIGHWAY 88
ST ANTHONY, MN
55418-3266

Practice Phone: 612-873-7201
Practice Fax: 612-873-1950

1710112545 — DR. LIPI RAMCHANDANI MBBS
Practice Location Address:

2714 HIGHWAY 88
ST ANTHONY VILLAGE, MN
55418-3266

Practice Phone: 612-873-6963
Practice Fax:

1083011969 — ANGELA BIASI CLIFFORD L.AC
Practice Location Address:

2714 HIGHWAY 88
SAINT ANTHONY, MN
55418-3266

Practice Phone: 612-873-6963
Practice Fax: 612-873-1950

1134730419 — LIESL ANN WOLF DNP, APRN, CNP
Practice Location Address:

2714 HIGHWAY 88
SAINT ANTHONY, MN
55418-3266

Practice Phone: 612-873-6963
Practice Fax:

Directions to “ KELLY A HOOD PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.