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Individual

DR. CARLA J. KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52317
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000488
WI
Enumeration date
04/20/2006
Last updated
10/23/2024
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