Individual
MARY BROWN-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
Mailing address
5426 WISCONSIN AVE N, NEW HOPE, MN 55428-3720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R108309-7
MN
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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