OrganizationActive
St Catherine University
NPI 1891016481 · Pediatric Adolescent Medicine Physician · Saint Paul, MN
Provider details
- NPI number
- 1891016481
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Kelly, MD(651) 690-6714
- License
- 40727 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2004 Randolph Ave
Mail #4112
Saint Paul, MN 55105-1750
Phone: (651) 690-6714
Fax: (651) 690-6188
Approximate (ZIP-level) locationGet directions
Mailing address
2004 Randolph Ave
Saint Paul, MN 55105-1750
Other names (DBA / former)
- Doing business as
- St Catherine University Health and Wellness Center
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.