Individual
KELYN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 223-2650
Mailing address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 223-2650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
162967
WI
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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