Salo, Kelley Rae
Salo, Kelley Rae is an individual health care provider with primary practice located at 3366 Oakdale Ave N Suite 315, Robbinsdale MN 55422-2948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Salo, Kelley Rae can be contacted via phone (763) 587-7900.Contact Information
Primary practice address
3366 Oakdale Ave N Suite 315
Robbinsdale MN 55422-2948
Phone: (763) 587-7900
Fax: (763) 587-7989
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39207 | Minnesota |
Profile Details
NPI number | 1669408886 |
---|---|
LBN Legal business name | Salo, Kelley Rae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jun 18th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669408886 | NPPES |
Minnesota | MEDICAID | 646212000 |
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