John Kelly

NPI #1952969826 in Wausau, Wisconsin

Provider Information

NPI Number
1952969826
Entity Type
Individual
Name
John Kelly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jun 4, 2019
Last Updated
Jun 4, 2019

Practice Location

Address
4048 CRESTWOOD DR
City
Wausau
ZIP Code
54403-8122
Phone
(715) 370-5646

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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