Individual
KELLEY K VOGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200560-30
WI
363LF0000X
Family Nurse Practitioner
Primary
10250
WI
363LF0000X
Family Nurse Practitioner
F06201389
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447876750
—
WI
Enumeration date
06/23/2020
Last updated
08/28/2020
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