Individual
MATTHEW B KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N83W15701 APPLETON AVE, MENOMONEE FALLS, WI 53051-3042
(262) 251-3890
Mailing address
N83W15701 APPLETON AVE, MENOMONEE FALLS, WI 53051-3042
(262) 251-3890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13094
WI
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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