Individual
MRS. KIMBERLY ANN KECELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT, MSOM
Contact information
Practice address
101 W MAIN ST, CAMPBELLSPORT, WI 53010-2706
(262) 483-0163
Mailing address
101 W MAIN ST, CAMPBELLSPORT, WI 53010-2706
(262) 483-0163
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
811-55
WI
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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