Individual
KELLY T BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
Mailing address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
555699
WI
Other
Enumeration date
06/25/2008
Last updated
05/05/2022
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