Individual
KAY D. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., L.AC.
Contact information
Practice address
12220 45TH AVE N, PLYMOUTH, MN 55442-2443
(763) 213-9989
Mailing address
12220 45TH AVE N, PLYMOUTH, MN 55442-2443
(763) 213-9989
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1015
MN
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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