Individual
DR. KELLY N MCGREGORY
Active
Individual
DR. KELLY N MCGREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-117262
IL
208000000X
Pediatrics Physician
54885-021
WI
208000000X
Pediatrics Physician
60515
MN
2080C0008X
Child Abuse Pediatrics Physician
Primary
54885
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117262
—
IL
05
—
1104025279
—
WI
Enumeration date
07/17/2007
Last updated
02/10/2021
Update your record
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