Individual
KELLEY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433-3746
(763) 587-9000
(763) 587-9130
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9219
MN
Other
Enumeration date
05/31/2022
Last updated
07/06/2022
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