Individual
MRS. JILL ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
21600 W NORTH AVE, BROOKFIELD, WI 53045-4742
(262) 782-4344
(262) 782-7485
Mailing address
21600 W NORTH AVE, BROOKFIELD, WI 53045-4742
(262) 782-4344
(262) 782-7485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71271-30
WI
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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