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NPI Code Detail

MEDICARE: DR. KELSEY ECHOLS M.D.

MEDICARE: DR. KELSEY ECHOLS 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
1207P00000XEmergency Medicine Physician62488-20WI
2207P00000XEmergency Medicine Physician57544MN

General Provider Information

NPI Number : 1578859526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELSEY ECHOLS M.D.
Provider Business Mailing Address
First Line : 2829 UNIVERSITY AVE SE STE 730
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 SMITH AVE N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-2344
Country : US
Telephone Number : 612-863-6590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 06/02/2026

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