Individual
KELLY DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5652
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035734
—
WI
Enumeration date
02/04/2014
Last updated
01/09/2025
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