Provider Demographics
NPI:1528265378
Name:SCHULTZ, KELIN E (MD)
Entity type:Individual
Prefix:
First Name:KELIN
Middle Name:E
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8130 SHADYVIEW LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1700
Mailing Address - Country:US
Mailing Address - Phone:218-349-0944
Mailing Address - Fax:
Practice Address - Street 1:9550 UPLAND LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4481
Practice Address - Country:US
Practice Address - Phone:952-567-7010
Practice Address - Fax:052-567-7017
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN53986207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology