Individual
KELLY ANN MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 CAMBRIDGE AVE APT 104, WAUKESHA, WI 53188-4779
(414) 526-9988
Mailing address
128 CAMBRIDGE AVE APT 104, WAUKESHA, WI 53188-4779
(414) 526-9988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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