Individual
KELSEY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9110
(715) 284-4311
Mailing address
601 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-4311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11263-33
WI
Other
Enumeration date
09/08/2021
Last updated
07/26/2024
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