Individual
MR. KELLY JONATHON DOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 845-5505
Mailing address
3106 SANDGATE CT # 54476, WESTON, WI 54476-5686
(920) 574-8003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127347
WI
Other
Enumeration date
08/19/2019
Last updated
09/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us