Individual
DR. KELLEY JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
511 WYMAN ST, NEW LONDON, WI 54961-1432
(920) 277-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14643
WI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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