Individual
KELLY ELIZABETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 626-6777
(612) 624-1446
Mailing address
420 DELAWARE ST SE, MMC 486, MINNEAPOLIS, MN 55455-0341
(612) 624-9796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 5429
MN
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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