Doctor profile · Federal record
Dr. Kelly Fandel, M.D.
Pediatrics Physician · St Cloud, MN
- NPI 1487699179
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1900 Centracare Circle, Centracare Clinic - Womens & Childrens
St Cloud, MN 563035000
(320) 654-3630
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- August 27, 2008
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Minnesota #40924
- Medicaid
- MN #372219800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487699179. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$32
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $17.73 | |
| Corium, LLC | 1 | $14.35 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Fandel's medical specialty?
Dr. Kelly Fandel practices Pediatrics Physician in St Cloud, MN.
Where does Dr. Kelly Fandel practice?
Dr. Kelly Fandel practices at 1900 Centracare Circle, St Cloud, MN 563035000. Office phone: 3206543630.
What is Dr. Kelly Fandel's NPI?
Dr. Kelly Fandel's National Provider Identifier (NPI) is 1487699179, issued by NPPES.