Individual
DR. KELLY DONNELLY MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
47 NEW SCOTLAND AVE # MC70, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22300-875
WI
2084N0400X
Neurology Physician
268837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100199202
—
WI
Enumeration date
06/12/2008
Last updated
10/18/2023
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