Individual
KELLY LINDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 269-2530
Mailing address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 269-2530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18395 - 40
WI
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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