Individual
KATELYN M KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2845 GREENBRIER RD, STE 340, GREEN BAY, WI 54311
(920) 288-8377
(920) 288-8385
Mailing address
2379 JOURDAIN LN, GREEN BAY, WI 54301-2137
(920) 737-9504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3030
WI
Other
Enumeration date
09/27/2012
Last updated
07/05/2018
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