Individual
KELLY MARIE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
346 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6712
(651) 645-9887
(651) 645-9884
Mailing address
346 LARPENTEUR AVE W, SAINT PAUL, MN 55113-6712
(651) 645-9887
(651) 645-9884
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2072654
MN
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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