Individual
REILLY KJELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4824 GREEN BAY RD, KENOSHA, WI 53144-1789
(262) 299-6199
Mailing address
4824 GREEN BAY RD, KENOSHA, WI 53144-1789
(414) 294-9913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1860133
WI
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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