Individual
MS. OPHELIA E KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6363 W DARNEL AVE, MILWAUKEE, WI 53223-2860
(414) 839-4108
Mailing address
6363 W DARNEL AVE, MILWAUKEE, WI 53223-2860
(414) 839-4108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129643-030
WI
163WH0200X
Home Health Registered Nurse
129643-030
WI
Other
Enumeration date
04/13/2007
Last updated
09/11/2025
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