Individual
DR. KATHARINE ELIZABETH HAYS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8320 W BLUEMOUND RD STE 125, MILWAUKEE, WI 53213-3367
(414) 302-3800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81679-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230464
—
WI
Enumeration date
04/02/2018
Last updated
07/13/2023
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