Individual
MRS. KELLY JEAN BENOLKIN ATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GENETIC COUNSELOR
Contact information
Practice address
1900 CENTRACARE CIRCLE #2300, CENTRACARE CLINIC - WOMEN'S & CHILDRENS, ST CLOUD, MN 56303-5000
(320) 654-3655
Mailing address
420 DELAWARE STREET SE, MMC 485, MINNEAPOLIS, MN 55455
(612) 273-0688
(612) 273-0886
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
12/07/2012
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