Individual
JEANNE M KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2321 N 70TH ST, WAUWATOSA, WI 53213-1319
(414) 727-4926
Mailing address
2321 N 70TH ST, WAUWATOSA, WI 53213-1319
(414) 727-4926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82731-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35061900
—
WI
Enumeration date
10/29/2008
Last updated
10/29/2008
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