Kelly Medical Services, S.c.
NPI #1740374230 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1740374230
- Entity Type
- Organization
- Organization Name
- Kelly Medical Services, S.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 820 E. SUMMIT AVE.
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066
- Phone
- (262) 567-6927
Authorized Official
- Name
- DR. JOHN E. KELLY, M.D.
- Title
- PRESIDENT
- Phone
- (262) 567-6927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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