Individual
KELLY PIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W SUPERIOR ST, SUITE 403, DULUTH, MN 55802-1803
(218) 722-4379
Mailing address
306 W SUPERIOR ST, SUITE 403, DULUTH, MN 55802-1803
(218) 722-4379
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R 138185-4
MN
Other
Enumeration date
09/24/2007
Last updated
03/24/2008
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