Individual
KELSEY LYNN BOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1212 57TH ST, KENOSHA, WI 53140-4069
(262) 657-6644
Mailing address
648 N PLANKINTON AVE STE 200, MILWAUKEE, WI 53203-2928
(665) 255-4848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994845-NP
CO
Other
Enumeration date
08/07/2019
Last updated
03/24/2022
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