Individual provider · Type 1 NPI

Carol Lynne Kelly, CNP

Family Nurse Practitioner · Bemidji, MN

NPI number 1780939314 Active

Practice location

1405 Anne St NW
Bemidji, MN 56601-5113

Fax (218) 444-9252

Mailing address

PO Box 346
Bemidji, MN 56619-0346

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR 89344-0 (MN)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1780939314

Carol Lynne Kelly, CNP's National Provider Identifier is 1780939314, issued on Jul 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bemidji, MN. The record was last updated on Dec 27, 2013.