Individual
MRS. KATHY HELEN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
721 AMERICAN AVENUE, SUITE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Mailing address
721 AMERICAN AVENUE, SUITE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
528
WI
363L00000X
Nurse Practitioner
Primary
65990-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43930100
—
WI
Enumeration date
04/25/2006
Last updated
02/23/2012
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