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Individual
KELLY HALLOWELL
Active
Individual
KELLY HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
82805
MN
207RI0200X
Infectious Disease Physician
Primary
82805
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
07/08/2026
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