Individual
KELLY CALVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W ZEDLER LN, MEQUON, WI 53092-6125
(414) 477-0494
Mailing address
215 W ZEDLER LN, MEQUON, WI 53092-6125
(414) 477-0494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175818
WI
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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