Individual
NICOLE MARIE KELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MHA
Contact information
Practice address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Mailing address
3901 STEWART AVE, WAUSAU, WI 54401-3948
(715) 907-0900
(715) 803-6977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25IB12894700
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
66790
WI
207X00000X
Orthopaedic Surgery Physician
68605
MN
Other
Enumeration date
08/08/2011
Last updated
02/18/2026
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