Individual provider · Type 1 NPI

Ryan Jerome Kelley

Student in an Organized Health Care Education/Training Program · Mankato, MN

NPI number 1013381482 Active

Practice location

1400 Highland Ctr
Mankato, MN 56001-6537

Call (612) 669-5506 Map

Mailing address

6468 Deerwood Ln
Lino Lakes, MN 55014-5428

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013381482

Ryan Jerome Kelley's National Provider Identifier is 1013381482, issued on Nov 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mankato, MN. The record was last updated on Nov 21, 2015.