NPI 1093229411

Kelly Preston

Practitioner Contractor St Paul, MN

Practice location

Address: 500 Grotto Street N, St Paul, MN 55104
Phone: (651) 760-3236
Fax: (651) 222-6025
Mailing address: 500 Grotto St N, Saint Paul, MN 55104-1754

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1093229411
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2017
Record last updated: 21 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.