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Individual

MS. MARY CATHERINE KELLNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2007 HERMITAGE LN, APT 103, JANESVILLE, WI 53546-3124
(608) 563-0948
Mailing address
2007 HERMITAGE LN, APT. 103, JANESVILLE, WI 53546-3124
(608) 563-0948

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106569030
WI

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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