Individual
KELSEY WESTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32021 COUNTRY 24 BLVD, CANNON FALLS, MN 55009
(507) 263-4221
Mailing address
32021 COUNTRY 24 BLVD, CANNON FALLS, MN 55009
(507) 263-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72682
MN
207Q00000X
Family Medicine Physician
8047
WI
Other
Enumeration date
04/12/2019
Last updated
10/05/2022
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