Individual
KELLI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3828 N 78TH ST, MILWAUKEE, WI 53222-3099
(414) 288-3831
Mailing address
PO BOX 1881, CLARK HALL ROOM 361, MILWAUKEE, WI 53201-1881
(414) 288-3831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120453-30
WI
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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