Individual
ELLEN VIRGINIA KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 NORTHWOODS DR, ARDEN HILLS, MN 55112-6963
(952) 853-8800
Mailing address
668 CHEROKEE AVE, SAINT PAUL, MN 55107-2509
(952) 270-8956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11182
MN
Other
Enumeration date
04/09/2024
Last updated
08/12/2024
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