Search › Minnesota › 101YA0400X
Kelly Willmott, LADC
NPI 1780929547 · on the registry since 2012 · sole proprietor
Practice
- Address
- 16221 Main Ave Se
Suite 102
Prior Lake, MN 55372 - Phone
- (952) 440-6038
- Fax
- (952) 440-6037
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota