Individual
KELLY SARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313
(763) 682-3005
Mailing address
11517 YUKON ST NW, COON RAPIDS, MN 55433
(763) 670-9888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-2185554
MN
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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