Individual
MEGAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD., SAINT LOUIS PARK, MN 55426
(952) 883-5000
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105381
MN
Other
Enumeration date
04/17/2017
Last updated
04/25/2017
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