Organization
KELLY DARMODY, LLC
Active
Other names
Antidote Health Co
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DARMODY MD (OWNER, CEO)
(262) 421-5135
Entity
Organization
Contact information
Practice address
1421 W WASHINGTON ST, WEST BEND, WI 53095-2439
(262) 421-5135
(414) 488-1407
Mailing address
5818 WILDLIFE DR, ALLENTON, WI 53002-9521
(262) 421-5135
(414) 488-1407
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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