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Individual

JESSICA LYNN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
820 2ND AVE N, WINDOM, MN 56101-1761
(507) 831-8405
(507) 831-5668
Mailing address
PO BOX 338, WINDOM, MN 56101-0338
(507) 831-8405
(507) 831-4668

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R198081-5
MN

Other

Enumeration date
08/24/2010
Last updated
08/24/2010
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