Organization
KELLY MCGREGORY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MCGREGORY DO (PEDIATRICIAN)
(763) 334-5151
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD STE 102, CRYSTAL, MN 55429
(815) 975-7555
Mailing address
6000 BASS LAKE RD STE 102, CRYSTAL, MN 55429-2768
(763) 334-5151
(612) 324-7445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
09/20/2018
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