Individual
KYOKO FELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 828-4853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4139-23
WI
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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