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Individual

JENNIFER ANN KELASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 552-6589
(715) 835-6370

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190463
WI
363L00000X
Nurse Practitioner
7918
WI
363LF0000X
Family Nurse Practitioner
Primary
7918-33
WI

Other

Enumeration date
08/18/2017
Last updated
12/04/2025
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