Individual
MS. SHANNON M KELLY-SCHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
G.N.P.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-5041
Mailing address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R120875-9
MN
Other
Enumeration date
12/06/2005
Last updated
02/13/2013
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