Individual
KERRY A GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
GREEN BAY CTC, 2357 W. MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Mailing address
GREEN BAY CTC, 2357 W. MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312067
WI
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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