Individual
ANDREW D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4300
Mailing address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10994
WI
Other
Enumeration date
06/06/2008
Last updated
07/15/2015
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