Individual
KELLY M CHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 E GRANT ST STE 230, APPLETON, WI 54911-3441
(920) 738-7300
(920) 738-7301
Mailing address
PO BOX 8031, APPLETON, WI 54912-8031
(866) 313-0337
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
300223
WI
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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