Individual
KELLEN DORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 647-8984
(920) 647-8991
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 647-8984
(920) 647-8991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1907340
WI
Other
Enumeration date
02/20/2020
Last updated
01/08/2025
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