Provo, Kelsey Ann

Provo, Kelsey Ann is an individual health care provider with primary practice located at 423 Great Oak Dr , Waite Park MN 56387-2507. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Provo, Kelsey Ann can be contacted via phone (320) 281-5305.

Contact Information

Primary practice address
423 Great Oak Dr Waite Park MN 56387-2507
Phone: (320) 281-5305
Fax: (320) 281-5306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1902315047
LBN Legal business name Provo, Kelsey Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 20th, 2017 - about 9 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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