Individual
KELLY MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172-1150
(414) 755-2500
(414) 301-9328
Mailing address
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172-1150
(414) 775-2500
(414) 301-9328
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
238308
WI
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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