Individual
BENJAMIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(608) 263-4765
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8054
ID
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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