Individual
KIM MARIE MCNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(608) 372-3145
Mailing address
PO BOX 214, VIOLA, WI 54664-0214
(608) 625-6156
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
114163-30
WI
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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