Individual
DR. KELLEY PUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
3209 ARDEN DR, WOODBURY, MN 55129-7781
(651) 269-5594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP 4760
MN
Other
Enumeration date
08/31/2016
Last updated
09/30/2022
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