KELLY JON HARE

PLYMOUTH, MN
NPI1952293029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  3221)
Enumeration Date2025-07-15
Last Update Date2025-09-10
Business Address
-- KELLY JON HARE Dr.
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-450-3986
Mailing Address
-- KELLY JON HARE Dr.
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779