Individual
KELSEY J BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
724 S 8TH ST, MEDFORD, WI 54451-2001
(715) 748-2663
Mailing address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3659-23
WI
363A00000X
Physician Assistant
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
09/17/2015
Last updated
06/17/2021
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