Individual
KATIE LYNN KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6228 PENN AVE S, RICHFIELD, MN 55423-1135
(612) 866-8362
Mailing address
5505 PARK AVE, MINNEAPOLIS, MN 55417-2438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117266-5
MN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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