Individual
MR. KELLY ROBERT LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 E MAIN ST, SUITE 200, WATERTOWN, WI 53094-3827
(920) 206-1000
(920) 206-1010
Mailing address
209 DERBY LANE, WATERTOWN, WI 53094
(920) 261-0601
(920) 206-1010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1806024
WI
Other
Enumeration date
03/23/2006
Last updated
02/25/2013
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