Kelly Ishizuka, MD - Pediatrics in Minneapolis, MN

Kelly Ishizuka, MD is a Pediatrics physician based in Minneapolis, Minnesota. Kelly Ishizuka is licensed to practice in Minnesota (license number 50412) and her current practice location is 420 Delaware St Se, Mmc 391, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 624-4477.

NPI number for Kelly Ishizuka is 1750435343 and her current mailing address is 4443 Arden View Ct, Arden Hills, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750435343.

Contact Information

Kelly Ishizuka, MD
420 Delaware St Se, Mmc 391,
Minneapolis, MN 55455-0341
(612) 624-4477
Not Available

Map and Direction




Physician's Profile

Full NameKelly Ishizuka
GenderFemale
SpecialityPediatrics
Location420 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750435343
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 01/18/2011

Medical Identifiers

Medical identifiers for Kelly Ishizuka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750435343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 50412 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ishizuka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ishizuka, MD
4443 Arden View Ct,
Arden Hills, MN 55112-1944

Ph: () -
Kelly Ishizuka, MD
420 Delaware St Se, Mmc 391,
Minneapolis, MN 55455-0341

Ph: (612) 624-4477

Reviews and Comments


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