Individual
MRS. KELLY LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5846
Mailing address
809 EASTWOOD ST, HOLMEN, WI 54636-9445
(608) 797-4605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1385-127
WI
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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