Kelley, Christine

Kelley, Christine is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Suite 100, Coon Rapids MN 55433-2643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelley, Christine can be contacted via phone (763) 427-8320.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2643
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9809 Minnesota

Profile Details

NPI number 1578529889
LBN Legal business name Kelley, Christine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 4th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578529889 NPPES
Minnesota MEDICAID 355480500

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