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Kelsey Ann Provo
Other Technician in Waite Park, Minnesota
NPI 1902315047

Kelsey Ann Provo is a Other Technician based in Moorhead, MN. Kelsey Ann Provo practices in Waite Park, MN. The NPI Number for Kelsey Ann Provo is 1902315047 and holds a License No. (Minnesota).

The current practice location address for Kelsey Ann Provo is 423 Great Oak Dr, Waite Park, MN and can be reached out via phone at 320-281-5305 and via fax at 320-281-5306.

Location: 423 Great Oak Dr, Waite Park, MN, 56560-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902315047
Provider Name
Kelsey Ann Provo
Credential
Provider Entity Type
Individual
Gender
Female
Address
423 Great Oak Dr, Waite Park, MN, 56560-5055
Phone Number
320-281-5305
Fax Number
320-281-5306
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
423 Great Oak Dr
City
Waite Park
State
Minnesota
Zip
56387-2507
Phone Number
320-281-5305
Fax Number
320-281-5306
person
Provider Business Mailing Address Details
Address
423 Great Oak Dr
City
Waite Park
State
Minnesota
Zip
56387-2507
Phone Number
320-281-5305
Fax Number
320-281-5306
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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