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Organization
KELLY DARMODY, LLC
Active
Organization
KELLY DARMODY, LLC
Active
Other names
Antidote Health Co
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DARMODY MD (OWNER, CEO)
(262) 421-5135
Entity
Organization
Contact information
Practice address
1421 W WASHINGTON ST, WEST BEND, WI 53095-2439
(262) 421-5135
(414) 488-1407
Mailing address
5818 WILDLIFE DR, ALLENTON, WI 53002-9521
(262) 421-5135
(414) 488-1407
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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