DR. KELLY KOEHNEN, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1285639815
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 10985 (MN) |
Frequently Asked Questions
NPI 1285639815 is the National Provider Identifier for DR. KELLY KOEHNEN, D.D.S., a Dentist - General Practice provider located in Minneapolis, MN. This NPI was enumerated on June 20, 2005.
DR. KELLY KOEHNEN, D.D.S. practices at 1406 W LAKE ST, STE 100, Minneapolis, MN 55408.
Quick Facts
- NPI
- 1285639815
- Type
- Individual
- Enumerated
- Jun 20, 2005
- Last Updated
- Jul 8, 2007
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