Individual
KELSEY L SHEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Mailing address
753 N MAIN ST, OREGON, WI 53575-1003
(608) 835-2222
(608) 835-1090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77470-20
WI
207R00000X
Internal Medicine Physician
125.072869
IL
207R00000X
Internal Medicine Physician
77470-20
WI
208000000X
Pediatrics Physician
77470-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124513767
—
WI
Enumeration date
06/26/2018
Last updated
10/26/2022
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