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Individual

DR. KELLY RAE HIRSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, RN, FNP-BC

Contact information

Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 800-6308
Mailing address
N27W26861 WOODLAND DR, PEWAUKEE, WI 53072-4450
(920) 323-1989

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16045-33
WI

Other

Enumeration date
10/14/2024
Last updated
01/12/2026
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