Kelsey Van Vickle

NPI 1316313091 · on the registry since 2015

Practice

Address: 1935 County Road B2 W Ste 100
Roseville, MN 55113
Phone: (651) 636-4155
Fax: (651) 636-3595
Organisation at this address: Tutapona Inc
S N Hinrichs Llc
Edina Health Inc
Elemo Mn Care Llc
New Leaf Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota