Individual
KELLI MARIE FENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
1613 FARM RD S, TOWER, MN 55790-5579
(218) 753-2182
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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