Individual
PARKER C KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 782-9760
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10545
MN
363A00000X
Physician Assistant
Primary
1351
WI
Other
Enumeration date
06/27/2006
Last updated
01/29/2024
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