Penrose, Kelli Jean

Penrose, Kelli Jean is an individual health care provider with primary practice located at 1901 Connecticut Ave S , Sartell MN 56377-2554. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Penrose, Kelli Jean can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave S Sartell MN 56377-2554
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Minnesota

Profile Details

NPI number 1740435551
LBN Legal business name Penrose, Kelli Jean
Credentials P.A., ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2008
Last updated May 20th, 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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