Individual
KEELEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 BRACKETT AVE, EAU CLAIRE, WI 54701-5040
(715) 204-4060
Mailing address
1820 CARRIE AVE, RICE LAKE, WI 54868-3066
(715) 829-6671
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-310252
WI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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