Individual
MRS. KELLY JOHANNA DICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROCHESTER, MN 55905-0001
(651) 292-2000
Mailing address
2355 HWY 36 W., STE. 100, ROCHESTER, MN 55905-0001
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7905
MN
363LF0000X
Family Nurse Practitioner
7905
MN
Other
Enumeration date
01/26/2021
Last updated
01/17/2024
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