Hultman, Kelsey Lee
Hultman, Kelsey Lee is an sole proprietor health care provider with primary practice located at 1540 Lake St S , Forest Lake MN 55025-2628. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hultman, Kelsey Lee can be contacted via phone (651) 464-7100.Contact Information
Primary practice address
1540 Lake St S
Forest Lake MN 55025-2628
Phone: (651) 464-7100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 55319 | Minnesota |
Profile Details
NPI number | 1760774574 |
---|---|
LBN Legal business name | Hultman, Kelsey Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2011 |
Last updated | Nov 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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