Individual
LAURIE L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SPRING LAKE RD, CLOQUET, MN 55720-1478
(218) 216-3616
Mailing address
833 SPRING LAKE RD, CLOQUET, MN 55720-1478
(218) 216-3616
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A988913100
MN
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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