Kelly Lee Dittberner

NPI #1376710251 in Portage, Wisconsin

Provider Information

NPI Number
1376710251
Entity Type
Individual
Name
Kelly Lee Dittberner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
May 10, 2008
Last Updated
May 10, 2008

Practice Location

Address
215 NORTHRIDGE DR
ZIP Code
53901-9294
Phone
(608) 516-9337

Specialties & Taxonomy Codes

Specialty
Home Health

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