Individual
KELLY JANELL SEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 W WISCONSIN ST, SPARTA, WI 54656-2233
(608) 269-6731
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
48684-20
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
48684
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831157114
BCBSWI
WI
05
—
1831157114
—
WI
01
—
FEHREKEL
MERCYCARE INSURANCE
WI
Enumeration date
05/03/2006
Last updated
09/03/2025
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