Individual
STACY JO KEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3765
(608) 262-2398
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5293
WI
Other
Enumeration date
02/25/2021
Last updated
12/18/2024
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