Individual
KELLY LYNN RIFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6121 GREEN BAY RD STE 100, KENOSHA, WI 53142-2931
(262) 359-1652
(262) 764-7577
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(888) 334-3360
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178023-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087100
—
WI
Enumeration date
04/11/2019
Last updated
11/17/2022
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