Individual
KELLY RHEINGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE KENNY ADVANCED PRIMARY CARE CLINIC, GOLDEN VALLEY, MN 55422-4249
(763) 520-0453
(763) 520-0869
Mailing address
3915 GOLDEN VALLEY RD, COURAGE KENNY ADVANCED PRIMARY CARE CLINIC, GOLDEN VALLEY, MN 55422-4249
(763) 520-0453
(763) 520-0869
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R 196804-4
MN
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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