Individual
KELLY D PARISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 N INTERLAKEN DR, OCONOMOWOC, WI 53066-4914
(262) 442-8727
(262) 567-8730
Mailing address
3328 N INTERLAKEN DR, OCONOMOWOC, WI 53066-4914
(262) 442-8727
(262) 567-8730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174021
WI
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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