Individual
KELLY MCMEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5533-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225445307
—
WI
Enumeration date
07/21/2014
Last updated
12/28/2020
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