Individual
KELLY J VOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120840 (RN)
WI
363L00000X
Nurse Practitioner
Primary
3814
WI
Other
Enumeration date
08/18/2009
Last updated
09/11/2020
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