Individual
KELSEY REIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11502V, SAINT PAUL, MN 55101-2502
(651) 254-7980
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55125-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2536
MN
Other
Enumeration date
08/01/2016
Last updated
08/23/2017
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