Individual
DR. KAITLYN JO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(845) 216-9793
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
83253-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266501
—
WI
Enumeration date
03/26/2018
Last updated
08/01/2024
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