Individual
MS. KELLY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2625 N 58TH ST, MILWAUKEE, WI 53210-2238
(414) 449-3661
Mailing address
2625 N 58TH ST, MILWAUKEE, WI 53210-2238
(414) 449-3661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120932-030
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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