| Kay Kelly Traditional Chinese Medicine, Inc. | |
|
12220 45th Ave N Plymouth MN 55442-2443 | |
| (763) 213-9989 | |
| Not Available |
| Full Name | Kay Kelly Traditional Chinese Medicine, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 12220 45th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Kay Devine Kelly (PRESIDENT) |
| Authorized Official Contact | 7632139989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kay Kelly Traditional Chinese Medicine, Inc. 12220 45th Ave N Plymouth MN 55442-2443 Ph: (763) 213-9989 | Kay Kelly Traditional Chinese Medicine, Inc. 12220 45th Ave N Plymouth MN 55442-2443 Ph: (763) 213-9989 |
| NPI Number | 1992036883 |
|---|---|
| Provider Enumeration Date | 01/17/2010 |
| Last Update Date | 01/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992036883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1015 (Minnesota) | Primary |
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