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Kelsey Provo
NPI 1902315047 · Other Technician · Waite Park, MN
Kelsey Provo is a Other Technician provider in Waite Park, MN (NPI 1902315047).
Provider details
- NPI number
- 1902315047
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% 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
423 Great Oak Dr
Waite Park, MN 56387-2507
Phone: (320) 281-5305
Fax: (320) 281-5306
Street-level locationGet directions
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2017-09-20
Frequently asked questions
- What is Kelsey Provo's NPI number?
- Kelsey Provo's National Provider Identifier (NPI) is 1902315047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelsey Provo's specialty?
- Kelsey Provo is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Kelsey Provo located?
- Kelsey Provo's practice location on file with NPPES is 423 Great Oak Dr, Waite Park, MN 56387-2507.
- What is Kelsey Provo's phone number?
- The practice phone number listed in the NPPES registry for Kelsey Provo is (320) 281-5305.
- Is Kelsey Provo's NPI active?
- Yes — Kelsey Provo's NPI (1902315047) is active in the NPPES registry as of the last update on 2017-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.