Individual
KELLY RAE MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LN
Contact information
Practice address
123 VILLAGE CENTER DR, NORTH OAKS, MN 55127-3007
(651) 773-0000
(651) 695-0191
Mailing address
45 SNELLING AVE N, SAINT PAUL, MN 55104-6842
(651) 699-3428
(651) 695-0191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N183
MN
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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