Individual
DEVEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
702 S WASHINGTON ST APT E13, LANCASTER, WI 53813-1974
(608) 732-7643
Mailing address
702 S WASHINGTON ST APT E13, LANCASTER, WI 53813-1974
(608) 732-7643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243761-30
WI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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