Individual
KELLY L HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, DIVISION OF CHILD PROTECTION, MILWAUKEE, WI 53226-4874
(414) 277-8980
(414) 277-8969
Mailing address
9000 W WISCONSIN AVE, DIVISION OF CHILD PROTECTION, MILWAUKEE, WI 53226-4874
(414) 277-8980
(414) 277-8969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52848-20
WI
2080C0008X
Child Abuse Pediatrics Physician
Primary
52848
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932302668
—
WI
Enumeration date
06/08/2007
Last updated
10/05/2020
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