License holder summary

Kim Michelle Kelly is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kim Michelle Kelly is 5502 W. Broadway, Crystal, MN 55428. This doctor license is not current. The license was granted 09/11/2004 and expired on 09/30/2009.

Department of Safety and Professional Services

Board of Medical Practice

Kim Michelle Kelly
Medical - Physician And Surgeon
License number
47017
Date granted
09/11/2004
Date expires
09/30/2009
Class
Medical - Physician And Surgeon
Status
Canceled
Address
5502 W. Broadway, Crystal, MN 55428
doctorsminnesota.org
ID 22234565
LAST UPDATED 2024-02-21 09:27:57 UTC

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