Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kimberly Rae Kelly, MD
Dermatology Physician in Fargo, ND · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1245223023
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Registry record
Entity type Individual (Type 1)
Name Kimberly Rae Kelly
Credential MD
Sex Female
Practice address 1702 University Dr S, Fargo, ND, 58103
Phone (701) 364-3300
Fax (701) 364-8906
Enumeration date Aug 26, 2005
Last updated in NPPES Aug 25, 2011
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16323 | Medicaid | ND | - |
| 0300403 | Other | - | MEDICA |
| 25535 | Other | ND | BLUE SHIELD |
| 511R8KE | Other | MN | BLUE SHIELD |
| 772090400 | Other | MN | MEDICAL ASSISTANCE |
| HP17495 | Other | - | HEALTHPARTNERS |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kimberly Kelly?
Kimberly Kelly is registered in NPPES with the primary taxonomy of Dermatology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-25.