Mary R Kelm, NP
NPI #1003802331 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1003802331
- Entity Type
- Individual
- Name
- Mary R Kelm, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Sep 22, 2005
- Last Updated
- Mar 28, 2016
Practice Location
- Address
- 420 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 926-8230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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