Provider Demographics
NPI:1881039840
Name:MEIER, CHELSY KATE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHELSY
Middle Name:KATE
Last Name:MEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHELSY
Other - Middle Name:KATE
Other - Last Name:KEMMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9680 TAMARACK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2617
Mailing Address - Country:US
Mailing Address - Phone:651-738-0490
Mailing Address - Fax:651-731-5031
Practice Address - Street 1:9680 TAMARACK RD STE 100
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2617
Practice Address - Country:US
Practice Address - Phone:651-738-0490
Practice Address - Fax:651-731-5031
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN60285208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty