KELLY KANTACK – NPI #1861348005
Registered Nurse

KELLY KANTACK is a registered nurse (RN) located in SAINT PAUL, MN. NPPES recently assigned the NPI number 1861348005 to KELLY KANTACK on March 09, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 163WS0200X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in School

The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY KANTACK below.

NPI Profile for
KELLY KANTACK

NPI Number
1861348005
Enumeration Date

(about 3 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY KANTACK
Primary location
360 COLBORNE ST
SAINT PAUL, MN 55102-3228
Phone: (651) 744-2290 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WS0200X
- Registered Nurse / School (Primary)
MN 1316971

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.