Individual
DR. KELLY BECICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5717
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115411
MN
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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