Individual
DR. KELLY B. KROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 852-0435
Mailing address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 852-0435
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56081
MN
208000000X
Pediatrics Physician
MD-13963
HI
Other
Enumeration date
08/19/2006
Last updated
05/29/2013
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