Individual
KELLEE RUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 202-8949
Mailing address
316 8TH ST N, SARTELL, MN 56377-1426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6266
MN
363LF0000X
Family Nurse Practitioner
Primary
6266
MN
Other
Enumeration date
10/30/2018
Last updated
10/31/2018
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