Individual
KELLY K WELLNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4663
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173778-30
WI
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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