Individual
DR. KELLEY RAE JEWETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9200
Mailing address
3128 35TH AVE S, MINNEAPOLIS, MN 55406-2114
(612) 729-5814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36314
MN
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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