Individual
VIRGINIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 BURLINGTON ST E, STILLWATER, MN 55082-5850
(612) 770-2065
Mailing address
506 BURLINGTON ST E, STILLWATER, MN 55082-5850
(612) 770-2065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1384932
MN
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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