Kelli Jean Penrose P.A., ATC

NPI 1740435551 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1740435551
Gender Female
Enumeration Date 11/20/2008
Last Updated 11/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1555 NORTHWAY DR
SAINT CLOUD MN, 56303-4555, US
Phone (320) 202-5508
Fax
Business Location
1555 NORTHWAY DR
SAINT CLOUD MN, 56303-4555, US
Phone (320) 202-5508
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Kelli Jean Penrose P.A., ATC NPI is 1740435551, taxonomy code is 2255A2300X Kelli Jean Penrose P.A., ATC physically located at 1555 Northway Dr, Saint Cloud MN, 56303-4555. NPI Number Kelli Jean Penrose P.A., ATC has the Individual type.

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1740435551 NPI number is provided on an as is basis without warranty of any kind. 1740435551 is maintained by the National Plan & Provider Enumeration System. The contents of Kelli Jean Penrose P.A., ATC are for informational purposes only.