Individual
KELLY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
6506-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366827594
—
WI
Enumeration date
07/29/2015
Last updated
06/03/2021
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