Kennedy, Kelly Marie

Kennedy, Kelly Marie is an individual health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kennedy, Kelly Marie can be contacted via phone (651) 345-6715.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-6715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 116024 Minnesota

Profile Details

NPI number 1689280406
LBN Legal business name Kennedy, Kelly Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated May 18th, 2021 - about 5 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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