Dr. Leigh Rowan-Kelly
Family Doctor - Addiction Medicine
15290 Pennock Ln
Apple Valley
, Minnesota 55124-7163
Dr. Leigh Rowan-Kelly
Family Doctor - Addiction Medicine
15290 Pennock Ln
Apple Valley
, Minnesota 55124-7163
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Leigh Rowan-Kelly
- 8170 33rd Ave S # Ms 21110q
- Minneapolis, MN
- Zip : 55425-4516
- Phone :
Second Address
- Dr. Leigh Rowan-Kelly
- 15290 Pennock Ln
- Apple Valley, MN
- Zip : 55124-7163
- Phone : (952) 853-8800
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Is Dr. Leigh Rowan-Kelly a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 58842 | MN |
National Provider Identifier
| NPI | 1790987709 |
|---|---|
| Provider Name | Dr. Leigh Rowan-Kelly |
| First Address | Minneapolis, MN 55425-4516 |
| Second Address | Apple Valley, MN 55124-7163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2007 |
| Last Update Date | 16/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 390200000X | TAXONOMY (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.