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Individual

KAITLYN J KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7502
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
124613
CA
208600000X
Surgery Physician
Primary
51917-20
WI
2086X0206X
Surgical Oncology Physician
22341-875
WI

Other

Enumeration date
11/13/2008
Last updated
02/13/2023
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