Individual
MS. KELLY LYNN HUENINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1616 E APPLE CREEK RD, APPLETON, WI 54913-9513
(920) 850-7577
Mailing address
1616 E APPLE CREEK RD, APPLETON, WI 54913-9513
(920) 850-7577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16023-33
WI
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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