Individual
KELLY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(651) 424-4046
Mailing address
657 22ND AVE NE APT 226, MINNEAPOLIS, MN 55418-5552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528463
MN
Other
Enumeration date
08/23/2023
Last updated
10/30/2024
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