Kelove Carruthers INC
NPI #1083495444 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1083495444
- Entity Type
- Organization
- Organization Name
- Kelove Carruthers INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 11, 2023
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 885 CONWAY ST
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55106-5604
- Phone
- (763) 807-1237
Authorized Official
- Name
- KELOVE TISHA CARRUTHERS
- Title
- OWNER
- Phone
- (763) 807-1237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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