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Provider Profile

Kelly D. Witucki, PA-C

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Where to find Kelly D. Witucki, PA-C

About Kelly Witucki

Kelly D. Witucki, PA-C is a physician assistant practicing in Maplewood, MN. This provider record is associated with NPI 1649150822.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Credentials & Licensing

MN licenceAs reported to the NPI registry
No. 15652As reported
WI licenceAs reported to the NPI registry
No. 9085-23As reported
NPINational Provider Identifier
1649150822Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kelly D. Witucki?

Kelly D. Witucki is a physician assistant in Maplewood, MN. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kelly D. Witucki's address?

Kelly D. Witucki is listed at 1575 Beam Ave, Maplewood, MN 55109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kelly D. Witucki?

The number on file is (651) 232-7348. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kelly D. Witucki's NPI number?

Kelly D. Witucki's National Provider Identifier is 1649150822. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kelly D. Witucki train?

Kelly D. Witucki attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly D. Witucki been practicing?

Kelly D. Witucki has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Kelly D. Witucki confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly D. Witucki. If this is you, claiming it is free.

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