Individual
MEGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019-00573
NC
207L00000X
Anesthesiology Physician
Primary
68417
MN
Other
Enumeration date
03/30/2015
Last updated
01/11/2022
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