Individual
KELLY ZAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1205 ROSA AVE, CRIVITZ, WI 54114-1594
(920) 591-0254
Mailing address
1205 ROSA AVE, CRIVITZ, WI 54114-1594
(920) 591-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239449
WI
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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