Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 232727 | MA |
NPI | 1013179407 |
---|---|
Provider Name | Dr. Kelly L. Rood |
First Address | Minneapolis, MN 55404-4291 |
Second Address | Minneapolis, MN 55404-4291 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 19/04/2012 |