Individual
KELLY GATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
W227N6103 SUSSEX RD, SUSSEX, WI 53089-3969
(414) 566-8426
Mailing address
4321 W CENTRAL AVE, FRANKLIN, WI 53132-8627
(847) 544-8877
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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