Individual
MRS. KELSY RUTHANNE BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-6868
(608) 355-6810
Mailing address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-6868
(608) 355-6810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13619
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316650120
—
WI
Enumeration date
12/27/2022
Last updated
08/26/2024
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