Individual
CANDICE L MCKEEFRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16885-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100375653
—
WI
Enumeration date
08/06/2025
Last updated
12/15/2025
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