Individual
KELLY S ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN 305735031
Contact information
Practice address
400 PUMPHOUSE RD, APT #26, CHIPPEWA FALLS, WI 54729
(715) 726-3084
Mailing address
400 PUMPHOUSE RD, APT #26, CHIPPEWA FALLS, WI 54729
(715) 726-3084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305735031
WI
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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