Individual
MOLLY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, CPNP
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 332-6676
Mailing address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1646-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43917900
—
WI
Enumeration date
06/04/2007
Last updated
02/17/2021
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