Individual
MS. KELLY MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 265-5600
Mailing address
75 GOLF PKWY UNIT H, MADISON, WI 53704-7026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177539
WI
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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