Individual
KELLY MARIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
1299 JAMES AVE, SAINT PAUL, MN 55105-2949
(651) 245-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1744514
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
3238
MN
Other
Enumeration date
06/11/2025
Last updated
09/17/2025
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