Individual
JOANNA KELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 MINNESOTA AVE, DETROIT LAKES, MN 56501-3035
(218) 847-5628
Mailing address
712 MINNESOTA AVE, DETROIT LAKES, MN 56501-3035
(218) 847-5628
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R-185092-9
MN
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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