Individual
ALEXANDRA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4700
(952) 993-5000
Mailing address
3308 YOSEMITE AVE S, ST LOUIS PARK, MN 55416-2142
(952) 452-1683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2274821
MN
Other
Enumeration date
10/27/2021
Last updated
03/14/2023
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