Organization
KELSEY SORENSEN LLC
Active
Other names
Northern Oak Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY SORENSEN PA-C (OWNER)
(612) 444-2897
Entity
Organization
Contact information
Practice address
9315 EVERGREEN BLVD NW, COON RAPIDS, MN 55433
(612) 444-2987
Mailing address
716 COUNTY ROAD 10 NE # 189, BLAINE, MN 55434-2331
(612) 367-6040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/12/2022
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