Individual
KELLY NICOLE HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
420 DELAWARE STREET, SE, MMC 250, MINNEAPOLIS, MN 55455
(612) 624-9996
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
06/28/2024
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