Individual
KELLY SCOTT MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65891
MN
390200000X
Student in an Organized Health Care Education/Training Program
65891
MN
Other
Enumeration date
04/13/2018
Last updated
08/23/2021
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