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Kelly Vanvickle
Women's Health Nurse Practitioner in Staples, Minnesota
NPI 1013332105

Kelly Vanvickle is a Women's Health Nurse Practitioner based in Crosslake, MN and is specialized in Women's Health. Kelly Vanvickle practices in Staples, MN. The NPI Number for Kelly Vanvickle is 1013332105 and holds a License No. R147459-6 (Minnesota).

The current practice location address for Kelly Vanvickle is 49725 County 83, Staples, MN and can be reached out via phone at 218-894-1515.

Location: 49725 County 83, Staples, MN, 56442-0065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013332105
Provider Name
Kelly Vanvickle
Credential
Provider Entity Type
Individual
Gender
Female
Address
49725 County 83, Staples, MN, 56442-0065
Phone Number
218-894-1515
Fax Number
Provider Enumeration Date
02/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
49725 County 83
City
Staples
State
Minnesota
Zip
56479-5280
Phone Number
218-894-1515
Fax Number
person
Provider Business Mailing Address Details
Address
49725 County 83
City
Staples
State
Minnesota
Zip
56479-5280
Phone Number
218-894-1515
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
R147459-6 (Minnesota)
Definition
Definition to come...
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