Individual
KELLY JO GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
Mailing address
3900 FLORIDA AVE N, CRYSTAL, MN 55427-1438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9027
MN
Other
Enumeration date
02/06/2013
Last updated
07/29/2015
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