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1174018246
CASEY KELLY
EAGAN, MN
NPI
1174018246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 5920)
Enumeration Date
2018-06-29
Last Update Date
2020-08-29
Business Address
CASEY KELLY CNP
2620 EAGAN WOODS DR
EAGAN, MN 55121
Phone number: 651-968-5200
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Mailing Address
CASEY KELLY CNP
1272 RANDOLPH AVE
SAINT PAUL, MN 55105-2954
Phone number: 651-357-5802
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