Individual
KATHRYN JO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7134
Mailing address
1612 SAVANNAH WAY, WAUNAKEE, WI 53597-2338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15819-040
WI
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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