Organization
KAY KELLY TRADITIONAL CHINESE MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY DEVINE KELLY L.AC. (PRESIDENT)
(763) 213-9989
Entity
Organization
Contact information
Practice address
12220 45TH AVE N, PLYMOUTH, MN 55442-2443
(763) 213-9989
Mailing address
12220 45TH AVE N, PLYMOUTH, MN 55442-2443
(763) 213-9989
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1015
MN
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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