Individual
MRS. KELLY MARIE BUBLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
13133 N PORT WASHINGTON RD STE 204, MEQUON, WI 53097-2420
(262) 243-2524
Mailing address
1608 BEHRENS DR, CEDARBURG, WI 53012-8870
(262) 339-5809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16214-33
WI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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