Individual
KELLY JEAN FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W8276 DANISH SETTLEMENT RD, PHILLIPS, WI 54555-6539
(715) 339-4057
Mailing address
W8276 DANISH SETTLEMENT RD, PHILLIPS, WI 54555-6539
(715) 339-4057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155534-30
WI
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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