SearchMinnesota225200000X

Kelsey Moyer

NPI 1720332083 · on the registry since 2012 · sole proprietor

Practice

Address
4415 W 36 1/2 St
St Louis Park, MN 55416
Phone
(952) 927-9717
Fax
(952) 927-7687
Organisation at this address
Villas At The Park Llc
Extendicare Homes, Inc.
St. Louis Park Opco Ii, Llc
Fmg West 36 1/2 Street Minnesota Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-07

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 Minnesota