Kelly Drevecky, OT R/L

NPI 1457303695 · on the registry since 2006 · sole proprietor

Practice

Address: 700 Harmony St Nw
Minot, ND 58703
Phone: (701) 720-5355
Fax: (701) 839-1311
Organisation at this address: Kelly Drevecky
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Also registered as: 225X00000X
225XN1300X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-07

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 North Dakota