OrganizationActive
Kay Kelly Traditional Chinese Medicine, Inc.
NPI 1992036883 · Clinic/Center · Plymouth, MN
Kay Kelly Traditional Chinese Medicine, Inc. is a Clinic/Center organization in Plymouth, MN (NPI 1992036883).
Provider details
- NPI number
- 1992036883
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kay Kelly, President(763) 213-9989
- License
- 1015 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
12220 45th Ave N
Plymouth, MN 55442-2443
Phone: (763) 213-9989
Street-level locationGet directions
Mailing address
12220 45th Ave N
Plymouth, MN 55442-2443
Registry dates
- Enumerated
- 2010-01-17
- Last updated
- 2010-01-17
Frequently asked questions
- What is Kay Kelly Traditional Chinese Medicine, Inc.'s NPI number?
- Kay Kelly Traditional Chinese Medicine, Inc.'s National Provider Identifier (NPI) is 1992036883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kay Kelly Traditional Chinese Medicine, Inc.?
- Kay Kelly Traditional Chinese Medicine, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kay Kelly Traditional Chinese Medicine, Inc. located?
- Kay Kelly Traditional Chinese Medicine, Inc.'s practice location on file with NPPES is 12220 45th Ave N, Plymouth, MN 55442-2443.
- What is Kay Kelly Traditional Chinese Medicine, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kay Kelly Traditional Chinese Medicine, Inc. is (763) 213-9989.
- Who is the authorized official for Kay Kelly Traditional Chinese Medicine, Inc.?
- The authorized official listed on Kay Kelly Traditional Chinese Medicine, Inc.'s NPPES record is Kay Kelly, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kay Kelly Traditional Chinese Medicine, Inc.'s NPI active?
- Yes — Kay Kelly Traditional Chinese Medicine, Inc.'s NPI (1992036883) is active in the NPPES registry as of the last update on 2010-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.