Individual
KELLY J HOWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
787 S VAN BUREN ST, STOUGHTON, WI 53589-2398
(608) 320-1973
Mailing address
787 S VAN BUREN ST, STOUGHTON, WI 53589-2398
(608) 320-1973
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312673-031
WI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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