Organization
ST CATHERINE UNIVERSITY
Active
Other names
St Catherine University Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M KELLY MD (MD)
(651) 690-6714
Entity
Organization
Contact information
Practice address
2004 RANDOLPH AVE, MAIL #4112, SAINT PAUL, MN 55105-1750
(651) 690-6714
(651) 690-6188
Mailing address
2004 RANDOLPH AVE, MAIL #4112, SAINT PAUL, MN 55105-1750
(651) 690-6714
(651) 690-6188
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
40727
MN
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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