Individual
KELLEY OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1748
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R2006426
MN
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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