Kelly B Fandel, MD - Pediatrics in St Cloud, MN

Kelly B Fandel, MD is a Pediatrics physician based in St Cloud, Minnesota. Kelly B Fandel is licensed to practice in Minnesota (license number 40924) and her current practice location is 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, Minnesota. She can be reached at her office (for appointments etc.) via phone at (320) 654-3630.

NPI number for Kelly B Fandel is 1487699179 and her current mailing address is 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487699179.

Contact Information

Kelly B Fandel, MD
1900 Centracare Circle, Centracare Clinic - Womens & Childrens,
St Cloud, MN 56303-5000
(320) 654-3630
Not Available



Physician's Profile

Full NameKelly B Fandel
GenderFemale
SpecialityPediatrics
Location1900 Centracare Circle, St Cloud, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487699179
  • Provider Enumeration Date: 06/18/2006
  • Last Update Date: 08/27/2008

Medical Identifiers

Medical identifiers for Kelly B Fandel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487699179NPI-NPPES
372219800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 40924 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly B Fandel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly B Fandel, MD
1900 Centracare Circle, Centracare Clinic - Womens & Childrens,
St Cloud, MN 56303-5000

Ph: (320) 654-3630
Kelly B Fandel, MD
1900 Centracare Circle, Centracare Clinic - Womens & Childrens,
St Cloud, MN 56303-5000

Ph: (320) 654-3630

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Pediatrics Doctors in St Cloud, MN

Jennifer J Rogan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303
Phone: 320-654-3630    
Oluade A. Ajayi, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5731    
Tracey B Thompson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303
Phone: 320-240-2832    
Logan Andrew Newman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115
Edward B Martin - Chafee, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-240-2118
Dr. Marla J Moore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5731    Fax: 719-447-8987

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