Individual
ELIZABETH WOOD KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
38437
MN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
38437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217069800
—
MN
05
—
32161200
—
WI
Enumeration date
07/10/2006
Last updated
02/22/2010
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