Individual
DR. KELLY MELISSA KNEWTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
23505 SMITHTOWN RD, SUITE 100, EXCELSIOR, MN 55331-4541
(952) 470-8555
(952) 401-8785
Mailing address
23505 SMITHTOWN RD, SUITE 100, EXCELSIOR, MN 55331-4541
(952) 470-8555
(952) 401-8785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN3872
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410065400
—
MN
Enumeration date
07/28/2006
Last updated
09/23/2011
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