Individual
KELLY UYEN KHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9655 COLORADO LN N, BROOKLYN PARK, MN 55445-2315
(763) 315-0737
Mailing address
9655 COLORADO LN N, BROOKLYN PARK, MN 55445-2315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117298
MN
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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