Individual
KELSEY J. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(618) 961-1950
(618) 961-1968
Mailing address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(763) 367-7110
(763) 317-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041409099
IL
207N00000X
Dermatology Physician
209010593
IL
363L00000X
Nurse Practitioner
Primary
209010593
IL
363LF0000X
Family Nurse Practitioner
2020026942
MO
Other
Enumeration date
08/07/2013
Last updated
03/01/2024
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