Individual
KELLY WOPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N66W25201 COUNTY HIGHWAY VV, FASTCARE, SUSSEX, WI 53089-2677
(262) 532-8690
Mailing address
N51 W24953 LISBON ROAD, FASTCARE, SUSSEX, WI 53089-2677
(262) 532-8690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6722-33
WI
Other
Enumeration date
11/17/2015
Last updated
10/07/2016
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