Individual
KELLY ANNE DOERING-KILKENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
112 S MAIN ST, DELAVAN, WI 53115-1723
(262) 903-7337
Mailing address
112 S MAIN ST, DELAVAN, WI 53115-1723
(262) 903-7337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3121410312
WI
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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