Kelly L Howe, RN
Individual provider Active NPI Registered Nurse · Morris, MN
NPI 1275867764 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1275867764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R168484 (MN)
- Practice address
- 621 Pacific Ave
Morris, MN 56267-1960 - Phone
- (320) 589-8742
- Fax
- (320) 589-7433
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R168484 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Traverse Grant Public Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R168484 | MN | Yes |
Addresses
Primary practice location
621 Pacific Ave
Morris, MN 56267-1960
Mailing address
621 Pacific Ave
Morris, MN 56267-1960
Phone (320) 589-8742
Other providers in Morris, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.