Kelly Mcgregory Pediatrics LLC

NPI #1952889073 in Crystal, Minnesota

Provider Information

NPI Number: 1952889073
Entity Type: Organization
Organization Name: Kelly Mcgregory Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Jul 31, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 6000 BASS LAKE RD STE 102
City: Crystal
State: Minnesota
ZIP Code: 55429
Phone: (815) 975-7555

Authorized Official

Name: DR. KELLY MCGREGORY, DO
Title: PEDIATRICIAN
Phone: (763) 334-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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