Individual
MS. KELLY JEAN LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
13420 ARLINGTON LN, ORLAND PARK, IL 60462-1393
(708) 710-0979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005855
IL
363A00000X
Physician Assistant
3582-23
WI
Other
Enumeration date
06/30/2015
Last updated
04/28/2025
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