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1780939314
CAROL LYNNE KELLY
BEMIDJI, MN
NPI
1780939314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R 89344-0)
Enumeration Date
2012-07-19
Last Update Date
2013-12-27
Business Address
-- CAROL LYNNE KELLY CNP
1405 ANNE ST NW
BEMIDJI, MN 56601-5113
Phone number: 218-368-7795
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Mailing Address
-- CAROL LYNNE KELLY CNP
PO BOX 346
BEMIDJI, MN 56619-0346
Phone number: 218-368-7795
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