Individual
KELLY SIEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
21601 470TH ST, BEMIDJI, MN 56601-9495
(218) 766-8015
Mailing address
21601 470TH ST, BEMIDJI, MN 56601-9495
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R1953156
MN
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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