Kelly M Shook (NPI# 1164693099, PAC ID# 2264502640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1164693099 |
| PAC ID by PECOS | 2264502640 |
| Professional Enrollment ID | I20080529000087 |
| Full Name | Kelly M Shook |
| Organization Legal Name | EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA |
| Address |
9550 Upland N Ln Suite 200 Maple Grove MN 55369-4483 |
| Phone Number | 7634204811 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 3274524020 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 500 Osborne Rd Ne, Suite 350, Fridley, MN 55432-2769 | 7637867100 | EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA |
| 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 | 7634204811 | EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA |
| 2211 Park Ave S, Minneapolis, MN 55404-3753 | 6128711144 | EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA |
| Organization Legal Name | EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Manlove | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 2211 Park Ave S, Minneapolis, MN 55404-3753 |
| Ronni M Molinaro | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Ann M Abel | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Julie A Klosterman | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 2211 Park Ave S, Minneapolis, MN 55404-3753 |
| Angela D Mucci | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 303 E Nicollet Blvd, Suite 333, Burnsville, MN 55337-4594 |
| Gregory L Barth | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 303 E Nicollet Blvd, Suite 333, Burnsville, MN 55337-4594 |
| Lisa A Posey | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 2211 Park Ave S, Minneapolis, MN 55404-3753 |
| Kimberly A Donohoo | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 2211 Park Ave S, Minneapolis, MN 55404-3753 |
| Matthew S Griebie | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 303 E Nicollet Blvd, Suite 333, Burnsville, MN 55337-4594 |
| Jonell C Amrhein | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 2211 Park Ave S, Minneapolis, MN 55404-3753 |
| Street Address |
9550 UPLAND N LN SUITE 200 |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronni M Molinaro | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Ann M Abel | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Robert H Long | Pain Management | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Irene A Lenmark | Physical Therapy | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Melissa A Burgess | Nurse Practitioner | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Kerry Ryan Brockberg | Psychologist, Clinical | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Mary Mattison-wynn | Psychologist, Clinical | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Darren R Mcdonald | Otolaryngology | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Kathleen H Puls | Qualified Audiologist | Ear Nose and Throat Specialty Care of Minnesota Pa | 9550 Upland N Ln, Suite 200, Maple Grove, MN 55369-4483 |
| Lorraine Marie Richards | Nurse Practitioner | Nura Pa | 9550 Upland N Ln, Suite 150, Maple Grove, MN 55369-4493 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | MAPLE GROVE + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Kelly M Shook.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.