Individual
DR. AMY MARIE KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2004 RANDOLPH AVE, #4112, SAINT PAUL, MN 55105-1750
(651) 690-6714
(651) 690-6188
Mailing address
2247 SARGENT AVE, SAINT PAUL, MN 55105-1157
(651) 699-9555
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
40727
MN
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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