Individual
KELLI ANN JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
648 S BURR OAK AVE, OREGON, WI 53575-3448
(608) 469-9465
(608) 835-1872
Mailing address
648 S BURR OAK AVE, OREGON, WI 53575-3448
(608) 469-9465
(608) 835-1872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152762-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152762-30
RN
WI
Enumeration date
07/14/2013
Last updated
07/14/2013
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