KELLY JEAN GROSSMAN

SAINT PAUL, MN
NPI1629897160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  12166)
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
KELLY JEAN GROSSMAN CNP
2303 WYCLIFF ST STE W210
SAINT PAUL, MN 55114-1272
Phone number: 612-424-0434
Mailing Address
KELLY JEAN GROSSMAN CNP
6204 CASCADE PASS
CHANHASSEN, MN 55317-9475
Phone number: 913-645-7599
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