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Individual

KELLIE JANSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1739 FREEDOM DR STE 101, NAPERVILLE, IL 60563-3565
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003980
IL

Other

Enumeration date
04/07/2011
Last updated
08/29/2024
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