Individual
MRS. KELLY L BRENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
W571 COUNTY ROAD L, EAST TROY, WI 53120-2408
(815) 222-1641
Mailing address
W571 COUNTY ROAD L, EAST TROY, WI 53120-2408
(815) 222-1641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19854730
WI
363LF0000X
Family Nurse Practitioner
209-011771
IL
363LF0000X
Family Nurse Practitioner
Primary
5946
WI
Other
Enumeration date
06/10/2014
Last updated
01/05/2022
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