Individual
KELLY NICOLE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S. RIVER ST., SUITE 254, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267
Mailing address
17 S. RIVER ST., SUITE 254, JANESVILLE, WI 53548
(608) 755-5260
(608) 755-5267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WI
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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