Individual
MARCIA S KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5921
(507) 247-5184
Mailing address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5921
(507) 247-5184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R0790585
MN
363LF0000X
Family Nurse Practitioner
Primary
0790585
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863387800
—
MN
Enumeration date
02/23/2006
Last updated
03/08/2021
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