Kelley, Kim Nan
Kelley, Kim Nan is an individual health care provider with primary practice located at 3395 Plymouth Rd , Minnetonka MN 55305-3765. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelley, Kim Nan can be contacted via phone (952) 939-0396.Contact Information
Primary practice address
3395 Plymouth Rd
Minnetonka MN 55305-3765
Phone: (952) 939-0396
Fax: (952) 548-8760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 102295 | Minnesota |
Profile Details
| NPI number | 1679631899 |
|---|---|
| LBN Legal business name | Kelley, Kim Nan |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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