Davis, Kelie Jean

Davis, Kelie Jean is an individual health care provider with primary practice located at 15 8Th Ave N , Hopkins MN 55343. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Davis, Kelie Jean can be contacted via phone (952) 933-5085.

Contact Information

Primary practice address
15 8Th Ave N Hopkins MN 55343
Phone: (952) 933-5085
Fax: (952) 931-2159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7809 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1937 Minnesota

Profile Details

NPI number 1174620611
LBN Legal business name Davis, Kelie Jean
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Sep 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174620611 NPPES
Minnesota MEDICAID 046953200

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