Individual
KELLY JEAN DARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56859
WI
207R00000X
Internal Medicine Physician
Primary
5685920
WI
Other
Enumeration date
04/05/2010
Last updated
12/03/2025
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