Individual
KELLY L HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
1557 MURPHY PKWY, EAGAN, MN 55122-1754
(651) 262-8497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
02/21/2023
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