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Individual

KALI KANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS PA-C

Contact information

Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Mailing address
4069 KAREN LN, STRATFORD, WI 54484-9490
(414) 839-1044

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
397723
WI

Other

Enumeration date
04/26/2017
Last updated
02/21/2020
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