Individual
KELLY M. HESSELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
173313
WI
363L00000X
Nurse Practitioner
Primary
8692
WI
363LF0000X
Family Nurse Practitioner
8692-33
WI
Other
Enumeration date
06/22/2018
Last updated
12/18/2020
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