Individual
KELSEY GORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Mailing address
N10461 CHIEF KUNO TRL, FOX LAKE, WI 53933-9708
(262) 224-9586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4849
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558848135
—
WI
Enumeration date
07/25/2018
Last updated
12/07/2023
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