Kelly A Zalog, P.A.
NPI #1952381790 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1952381790
- Entity Type
- Individual
- Name
- Kelly A Zalog, P.A.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Jan 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 19035 W CAPITOL DR
- Address 2
- SUITE 101
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-2706
- Phone
- (262) 754-1421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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