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Individual

KRISTEN KELLOGG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9220 BASS LAKE RD, SUITE 260, NEW HOPE, MN 55428-3000
(763) 533-0363
(763) 533-0842
Mailing address
2276 118TH AVE NE, BLAINE, MN 55449-5443
(651) 245-8705

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102438
MN

Other

Enumeration date
08/09/2005
Last updated
07/08/2007
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