Individual
DR. KELLY AGNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 353-8724
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 353-8724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R180957-2
MN
Other
Enumeration date
06/17/2013
Last updated
10/08/2014
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