KELLEY MIKKELSON

MORRIS, MN
NPI1609437714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  6542)
Enumeration Date2019-06-28
Last Update Date2019-06-28
Business Address
KELLEY MIKKELSON
24 E 7TH ST
MORRIS, MN 56267-1312
Phone number: 320-589-4008
Mailing Address
KELLEY MIKKELSON
1707 LAKE VICTORIA SE
ALEXANDRIA, MN 56308-5508
Phone number: 320-760-7301