Individual
KELSEY MAE DOCKENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(320) 248-5083
Mailing address
16101 WILDERNESS DR, STAPLES, MN 56479-3127
(320) 248-5083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10392
MN
Other
Enumeration date
07/04/2023
Last updated
07/13/2023
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