Individual
MR. ROBERT M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143
(715) 732-8000
(715) 732-8148
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1041-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
68358-030
WI
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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