Individual
KELLY A HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2714 HIGHWAY 88, ST ANTHONY, MN 55418-3266
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12609
MN
363AM0700X
Medical Physician Assistant
12609
MN
Other
Enumeration date
02/19/2018
Last updated
11/01/2023
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