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Individual

KELLI F DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2131
(952) 928-2900
(952) 928-2944
Mailing address
6545 FRANCE AVE S, SUITE 210, EDINA, MN 55435-2131
(952) 928-2900
(952) 928-2944

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 177398-3
MN
363LG0600X
Gerontology Nurse Practitioner
R 177398-3
MN

Other

Enumeration date
04/24/2014
Last updated
11/13/2015
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