IndividualActive
Charles Kelly, MD
NPI 1730123639 · Specialist · Roseville, MN
Charles Kelly, MD is a Specialist provider in Roseville, MN (NPI 1730123639).
Provider details
- NPI number
- 1730123639
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26263 (MN)
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3050 Centre Pointe Drive
Suite 200
Roseville, MN 55113
Phone: (651) 631-4242
Fax: (651) 631-4260
Street-level locationGet directions
Mailing address
3050 Centre Pointe Drive
Roseville, MN 55113
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2016-02-11
Frequently asked questions
- What is Charles Kelly's NPI number?
- Charles Kelly's National Provider Identifier (NPI) is 1730123639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Kelly's specialty?
- Charles Kelly is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Charles Kelly located?
- Charles Kelly's practice location on file with NPPES is 3050 Centre Pointe Drive, Roseville, MN 55113.
- What is Charles Kelly's phone number?
- The practice phone number listed in the NPPES registry for Charles Kelly is (651) 631-4242.
- Is Charles Kelly's NPI active?
- Yes — Charles Kelly's NPI (1730123639) is active in the NPPES registry as of the last update on 2016-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.