Individual
KELLI HAYES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0312
Mailing address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8921
MN
225100000X
Physical Therapist
PT60091984
WA
Other
Enumeration date
03/08/2012
Last updated
03/15/2013
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