Individual provider · Type 1 NPI

Kim Nan Kelley, OTRL

Specialist · Minnetonka, MN

NPI number 1679631899 Active

Practice location

3395 Plymouth Rd
Minnetonka, MN 55305-3765

Fax (952) 548-8760

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X102295 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679631899

Kim Nan Kelley, OTRL's National Provider Identifier is 1679631899, issued on Dec 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 8, 2007.