Individual
KELLY A SPRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4317 W WOODMAN ST, PEQUOT LAKES, MN 56472-3473
(218) 568-4416
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194132-0
MN
Other
Enumeration date
07/12/2013
Last updated
01/15/2016
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