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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KELLY D PRUETT, APN

Active

MR. KELLY D PRUETT, APN is a Nurse Practitioner healthcare provider located in BEMIDJI, Minnesota. NPI 1336217900 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BEMIDJI, MN

Registration Details

NPI Number
1336217900
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.658322504397 yrs)
Last Updated
Jan 22, 2021
Licenses
7888 (MN)
A003595 (AR)

Practice Information

Address
1300 ANNE ST NW
BEMIDJI, MN, 566015103
Browse MN providers · Browse ZIP 56601
Phone
2187519746
Fax
6053286512
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BEMIDJI, MN

Name Credential NPI
BARBARA J ERIKSSON-CAPES NP 1881618221
MATHILDE DOBBS 1922119023
ROBIN LEACH BUCHANAN APRN 1447351713
LINDA MT HELGESON NP 1194910505
DEBORAH L GIBBPOTTS FNP-C 1164604492
CHARLENE G LA FRENZ NP 1538338603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.