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Individual

KELLY B JANKOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2465
Mailing address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
(715) 847-2465

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3507-033
WI

Other

Enumeration date
09/18/2008
Last updated
09/18/2008
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