Individual
KELLY JEAN BRUNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-5526
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-5526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11618-33
WI
363LF0000X
Family Nurse Practitioner
11618-33
WI
Other
Enumeration date
12/21/2021
Last updated
08/27/2025
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