Individual
DR. KELLY J ANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
557 W 29735 SAYLESVILLE RD, WAUKESHA, WI 53189
(262) 287-0903
Mailing address
PO BOX 551, MUKWONAGO, WI 53149-0551
(262) 354-4136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3919
WI
111N00000X
Chiropractor
3919-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38947400
—
WI
Enumeration date
07/17/2006
Last updated
08/22/2023
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