Ms Katlynn Ann Kelley, NP-C | |
20 S Park St Rm M417, Madison, WI 53715-1348 | |
(414) 573-8992 | |
Not Available |
Full Name | Ms Katlynn Ann Kelley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 20 S Park St Rm M417, Madison, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912475393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 8794-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
Stoughton Hospital | Stoughton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Wisconsin Medical Foundation Inc | 6608785464 | 2153 |
Entity Name | University Of Wisconsin Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
---|---|
Ms Katlynn Ann Kelley, NP-C 335 Longfield St, Evansville, WI 53536-1236 Ph: (414) 573-8992 | Ms Katlynn Ann Kelley, NP-C 20 S Park St Rm M417, Madison, WI 53715-1348 Ph: (414) 573-8992 |
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