Individual
KELLY R IHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
9825 HOSPITAL DR, #205, MAPLE GROVE, MN 55369
(763) 587-7000
(763) 587-7015
Mailing address
5700 BOTTINEAU BLVD, #210, CRYSTAL, MN 55429
(763) 587-7000
(763) 587-7015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R174987-8
MN
Other
Enumeration date
09/10/2009
Last updated
03/10/2015
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