Individual
MICHELLE KETT ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
110 CRAIG PLACE, WILLERNIE, MN 55090
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084248
MN
367500000X
Certified Registered Nurse Anesthetist
084248
NC
Other
Enumeration date
07/29/2010
Last updated
08/06/2025
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