Individual
KELLIE RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 416-5777
Mailing address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129086-30
WI
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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