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Individual

KELLY MAE CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
280 SMITH AVE N, STE 450, ST PAUL, MN 55102-2481
(651) 241-5959
(651) 241-5958
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3380
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R137492-6
MN

Other

Enumeration date
07/18/2010
Last updated
07/27/2023
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