Individual
MS. KATLYNN ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
20 S PARK ST RM M417, MADISON, WI 53715-1348
(414) 573-8992
Mailing address
335 LONGFIELD ST, EVANSVILLE, WI 53536-1236
(414) 573-8992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8794-33
WI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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