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Individual

RYAN KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 BLOOMINGTON AVENUE S, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
Mailing address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455-0341
(612) 624-8984
(612) 624-3289

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56348
MN

Other

Enumeration date
06/02/2009
Last updated
03/13/2015
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