Moreno, Kelly Ann
Moreno, Kelly Ann is an individual health care provider with primary practice located at 9055 Springbrook Dr Nw , Coon Rapids MN 55433-5841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Moreno, Kelly Ann can be contacted via phone (763) 780-9155.Contact Information
Primary practice address
9055 Springbrook Dr Nw
Coon Rapids MN 55433-5841
Phone: (763) 780-9155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | T9236 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 79492 | Minnesota |
Profile Details
| NPI number | 1245816990 |
|---|---|
| LBN Legal business name | Moreno, Kelly Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2021 |
| Last updated | Sep 8th, 2025 - about last year |
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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