Individual
KELLY WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
204 MORRISSEY DR, NORTH PRAIRIE, WI 53153-9732
(262) 894-9216
Mailing address
204 MORRISSEY DR, NORTH PRAIRIE, WI 53153-9732
(262) 894-9216
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
146649-30
WI
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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