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Individual

KELLY M SHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8178
MN

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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