Individual
KELLI MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
826 E BRIDGE ST, WAUSAU, WI 54403-3619
(920) 574-4879
Mailing address
826 E BRIDGE ST, WAUSAU, WI 54403-3619
(920) 574-4879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
156818
WI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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