MR. Kelly D Pruett, APN

NPI #1336217900 in Bemidji, Minnesota

Provider Information

NPI Number
1336217900
Entity Type
Individual
Name
MR. Kelly D Pruett, APN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
APN
Enumeration Date
Dec 1, 2006
Last Updated
Jan 22, 2021

Practice Location

Address
1300 ANNE ST NW
ZIP Code
56601-5103
Phone
(218) 751-9746

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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