Individual
CHARLES M. KELLY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 N HIGHWAY 20, CANNON FALLS, MN 55009-1187
(507) 263-4900
Mailing address
1705 N HIGHWAY 20, CANNON FALLS, MN 55009-1187
(507) 263-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67391
MN
Other
Enumeration date
04/03/2017
Last updated
12/12/2023
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