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MRS. KELSEY MILBERT
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1265790471
Individual Registrant:MRS. KELSEY MILBERT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1514 E MINNESOTA ST SAINT JOSEPH, MN 56374-8618 US
Tel: 320-363-7729 Fax: --
Tel: 320-363-7729 Fax: --
Contact information for business:
1514 E MINNESOTA ST PO BOX 607 SAINT JOSEPH, MN 56374-8618 US
Tel: 320-363-7729 Fax: --
Tel: 320-363-7729 Fax: --
Registration Information:
NPI: 1265790471
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | MN | D13062 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
