Individual
KELSEY ANNE DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4794
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386204832
—
WI
Enumeration date
06/17/2019
Last updated
08/04/2023
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