DR. Kelly K Koehnen, D.D.S.
NPI #1285639815 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1285639815
- Entity Type
- Individual
- Name
- DR. Kelly K Koehnen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 20, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1406 W LAKE ST
- Address 2
- STE 100
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408-2653
- Phone
- (612) 827-3736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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