Mr Kelly Paul Jesok, LPN | |
6465 Wayzata Blvd Ste 150, Minneapolis, MN 55426-1750 | |
(763) 546-8899 | |
Not Available |
Full Name | Mr Kelly Paul Jesok |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 6465 Wayzata Blvd Ste 150, Minneapolis, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659069730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 814568 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kelly Paul Jesok, LPN 610 265th Ave Ne, Isanti, MN 55040-5258 Ph: (612) 513-5803 | Mr Kelly Paul Jesok, LPN 6465 Wayzata Blvd Ste 150, Minneapolis, MN 55426-1750 Ph: (763) 546-8899 |
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