Individual
BRIAN E. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 5TH GRANT BLVD, WABASHA, MN 55981-1042
(651) 565-4571
Mailing address
1202 5TH GRANT BLVD, WABASHA, MN 55981-1042
(651) 565-4571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41302
MN
Other
Enumeration date
01/25/2006
Last updated
01/22/2024
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