Individual
MR. PATRICK JOSEPH KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1316 HARNER LN, CLOQUET, MN 55720-2973
(218) 878-0159
Mailing address
1316 HARNER LN, CLOQUET, MN 55720-2973
(218) 878-0159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A301
MN
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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