Individual
ALLA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2080 WOODWINDS DR, 110, WOODBURY, MN 55125-2523
(651) 738-6800
(651) 714-6997
Mailing address
2080 WOODWINDS DR, 110, WOODBURY, MN 55125-2523
(651) 738-6800
(651) 714-6997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
56347
MN
Other
Enumeration date
06/18/2009
Last updated
08/11/2014
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