Individual
KELYN MARIE LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE STE 5200, MILWAUKEE, WI 53226-3522
(414) 805-9400
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7991-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720591035
—
WI
01
—
194208-30
RN
WI
01
—
7991-33
APNP
WI
Enumeration date
11/08/2017
Last updated
07/21/2022
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