Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Preston

Individual provider Contractor · NPI 1093229411

Kelly Preston is a Contractor in St Paul, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

500 Grotto St N
St Paul, MN 55104
Phone: (651) 760-3236
Fax: (651) 222-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1093229411
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2017
Last updated in NPPESNovember 21, 2017