Individual
KELSEY E GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 830-6877
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4980
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2019
Last updated
01/30/2020
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