Individual
JESSICA A KILTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
612 N 10TH AVE, WAUSAU, WI 54401-2924
(715) 574-6929
Mailing address
612 N 10TH AVE, WAUSAU, WI 54401-2924
(715) 574-6929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221352
WI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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