Individual
KELLY HOFSTETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4958 INNOVATION DR APT 430, DEFOREST, WI 53532-2840
(715) 367-0808
Mailing address
4958 INNOVATION DR APT 430, DEFOREST, WI 53532-2840
(715) 367-0808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
255227
WI
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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