Individual
MS. KELLY SWINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
318 S HUDSON AVE, STURGEON BAY, WI 54235-3027
(920) 743-6806
Mailing address
318 S HUDSON AVE, STURGEON BAY, WI 54235-3027
(920) 743-6806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13467-031
WI
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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