MS. Kelly Marie Quandt, NURSE PRACTITIONER

NPI #1538462650 in Mequon, Wisconsin

Provider Information

NPI Number: 1538462650
Entity Type: Individual
Name: MS. Kelly Marie Quandt, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NURSE PRACTITIONER
Enumeration Date: Dec 11, 2010
Last Updated: Apr 15, 2024

Practice Location

Address: 11270 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-3410
Phone: (262) 241-1022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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