Provider Demographics
NPI:1356679195
Name:AMAN, KELLY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:
Last Name:AMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 BLUE GENTIAN RD
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1542
Mailing Address - Country:US
Mailing Address - Phone:612-439-8070
Mailing Address - Fax:612-439-8061
Practice Address - Street 1:995 BLUE GENTIAN RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1542
Practice Address - Country:US
Practice Address - Phone:612-439-8070
Practice Address - Fax:612-439-8061
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-04
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122201183500000X
TX42763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist