Individual
KELSEY A GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8230
(920) 926-8997
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9360-033
WI
363LA2200X
Adult Health Nurse Practitioner
9360-33
WI
Other
Enumeration date
07/09/2019
Last updated
06/30/2022
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