Individual
JOSEPH LOUIS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
634 ROOSEVELT RD, KOHLER, WI 53044-1618
(920) 452-2737
Mailing address
634 ROOSEVELT RD, KOHLER, WI 53044-1618
(920) 452-2737
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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